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Ostomy irrigation set

HCPCS code

Name of the Procedure:

Common name: Ostomy Irrigation Set
Technical/Medical term: A4400 Ostomy Irrigation Set


Ostomy irrigation is a method used by individuals with a colostomy to manage the evacuation of stool. An ostomy irrigation set is a medical device kit that helps individuals with a colostomy to flush out the colon, offering a predictable and controlled way to manage bowel movements.


Medical Conditions/Problems:

  • Colostomy management
  • Bowel regulation for colostomy patients


  • Enhanced bowel movement control
  • Reduced risk of unexpected stool leakage
  • Improved quality of life for individuals with a colostomy



  • Individuals with a permanent colostomy
  • Uncontrolled bowel movements post-colostomy

Patient Criteria:

  • Stable health status
  • Ability to understand and perform irrigation independently or with help


Pre-Procedure Instructions:

  • No specific fasting required
  • Discuss any current medications with your healthcare provider

Diagnostic Tests/Assessments:

  • Routine check-up to ensure suitability for irrigation
  • Physician consultation for initial training and guidance

Procedure Description

  1. Gather Supplies: Ostomy irrigation set (A4400), water, irrigation sleeve, and disposal bag.
  2. Prepare Water: Use lukewarm water as advised by your healthcare provider.
  3. Set Up Equipment: Ensure all parts of the irrigation set are clean and assembled correctly.
  4. Attach Equipment: Connect the irrigation sleeve to the stoma and the irrigation set.
  5. Introduce Water: Fill the irrigation reservoir with the prepared water and allow it to flow into the colon through the stoma.
  6. Evacuate Water and Stool: Once the water is in, allow the body to expel the water and stool into the attached sleeve.


  • Ostomy irrigation set (A4400)
  • Irrigation sleeve
  • Graduated container for water


  • Typically, no anesthesia or sedation is needed


The entire procedure typically takes about 30 to 45 minutes.


  • The procedure can be performed at home, usually in a bathroom for convenience.
  • Initial training might take place in an outpatient clinic or hospital setting.


  • Patient (or caregiver after training)
  • Initial training by a specialized nurse or healthcare provider.

Risks and Complications

Common Risks:

  • Mild discomfort or cramping during irrigation

Rare Risks:

  • Infection
  • Perforation of the bowel


  • For discomfort, adjusting the water temperature or flow can help.
  • Immediate medical attention is required if severe pain or symptoms of infection occur.


  • Provides predictable control over bowel movements
  • Potentially reduces the need for ostomy bag changes
  • Improved comfort and confidence in daily activities

Realization Time:

  • Benefits typically realized within a few weeks of consistent use


Post-Procedure Care:

  • Clean the irrigation equipment thoroughly after each use
  • Monitor skin around the stoma for irritation or infection

Recovery Time:

  • No significant downtime; patients can resume normal activities immediately


  • Regular follow-ups with the healthcare provider for assessment and adjustments as needed


Other Treatment Options:

  • Using ostomy bags and pouches for waste collection
  • Dietary adjustments to manage bowel movements

Pros and Cons of Alternatives:

  • Ostomy Bags: Convenient but may lead to frequent changes and potential for leaks.
  • Dietary Adjustments: Non-invasive but might not provide as predictable bowel management as irrigation.

Patient Experience

During the procedure, patients might feel the water flowing into their colon, which could cause mild discomfort or cramping initially. This sensation typically lessens with regular use of the irrigation technique. Comfort measures include using lukewarm water and performing the procedure in a relaxed setting. Post-procedure, patients can expect a more controlled bowel management routine, leading to increased comfort and confidence in daily activities.

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