2025 HCPCS code A4344
(Active) Effective Date: N/A Revision Date: N/A Medical Supplies - Incontinence Devices and Supplies Medical and Surgical Supplies Feed
Supply of a two-way, Foley-type, all-silicone or polyurethane indwelling urinary catheter.
Modifiers may be applicable depending on the circumstances of service.Consult the current modifier guidelines for HCPCS codes.
Medical necessity for an indwelling catheter (A4344) would typically be established by a physician based on a patient's clinical condition, such as urinary retention, incontinence, post-surgical recovery, neurogenic bladder, or severe urinary tract infection. The choice of an all-silicone catheter might be medically necessary due to patient allergies to latex.
The clinical responsibility for this code lies with the physician or other qualified healthcare professional who orders and/or inserts the catheter.This includes assessing the patient's need for an indwelling catheter, selecting the appropriate catheter size and type, and ensuring proper insertion and maintenance.Nursing staff may assist with the insertion and subsequent care of the catheter but the responsibility for ordering rests with the physician.
In simple words: This code covers the cost of a special type of tube (catheter) used to drain urine from the bladder.It's made of soft material and stays in place for a while.
This HCPCS code represents the supply of a single, two-way, Foley-type indwelling urinary catheter constructed entirely of silicone or polyurethane.The catheter features a drainage channel for urine and a separate channel for inflating/deflating the balloon that secures the catheter's tip within the bladder. This type of catheter is designed for extended use within the bladder.
Example 1: A patient with urinary retention requiring long-term bladder drainage is fitted with an A4344 catheter., A post-operative patient with bladder dysfunction is fitted with an A4344 catheter to facilitate urinary drainage during recovery., A patient with a neurogenic bladder requiring intermittent catheterization is fitted with an A4344 catheter for continuous drainage.
Documentation should include the medical necessity for an indwelling catheter, the patient's history and physical examination findings (including any relevant allergies), the specific type and size of the catheter used, the date and time of insertion, and any complications or adverse events.Physician's order for the catheter must be present in the medical record.
** Always refer to the most current CMS HCPCS code set for the most up-to-date information on this code and its usage.This information is for guidance only and does not constitute medical or billing advice.
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier is not typically applied to this supply code.This code represents the supply of the catheter itself. The insertion of the catheter would be a separate procedure coded appropriately.
- Specialties:Urology, General Surgery, Nephrology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center, Physician's Office, Skilled Nursing Facility