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BETA v.3.0

2025 HCPCS code A4336

Urethral insert, female

Medical necessity for A4336 should be supported by documentation of stress incontinence and failed or unsuitable conservative management options. Documentation should clearly indicate that the urethral insert is medically necessary to improve the patient's quality of life by managing the incontinence.

In simple words: This is a small, disposable insert placed into the urinary opening to help women control urine leaks during activities like coughing, sneezing, or exercise.

This code represents a urethral insert used by females to prevent urine leakage, particularly for stress incontinence. The device is a small, cork-like, latex-free, narrow, silicone, disposable device inserted into the urethra. It is worn during activity and removed for urination.

Example 1: A 45-year-old female experiences stress incontinence when exercising. She is fitted for and instructed on the use of a urethral insert (A4336) to manage the leakage during her workouts., A 60-year-old woman with mild stress incontinence chooses a urethral insert to avoid surgery. Her physician provides her with the device and instructions on proper insertion, removal, and hygiene., A patient who has undergone multiple pregnancies experiences stress incontinence. Her physician recommends and inserts a urethral insert to manage the leakage. She is educated on self-insertion and removal techniques for at-home use.

Documentation should include the diagnosis of stress incontinence, the type of urethral insert used, and patient education provided on insertion, removal, and care.

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