2025 HCPCS code A5114
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Medical Supplies - Incontinence Devices and Supplies Medical And Surgical Supplies Feed
Replacement leg straps for a urinary leg bag.
Modifiers may be applicable depending on the circumstances of service. Consult local guidelines for modifier usage.
Medical necessity is established when the patient has urinary incontinence requiring the use of a urinary drainage bag, and the existing leg straps are damaged or worn, compromising the bag's secure placement and potentially leading to leakage, skin breakdown, or infection.
The clinical responsibility lies with the physician or healthcare provider managing the patient's urinary incontinence.They will determine the need for a urinary drainage bag and replacement straps based on the patient's condition and clinical assessment.
In simple words: This code covers replacement straps for a bag that collects urine from someone who can't control their bladder. The straps help keep the bag attached to the leg.
This HCPCS code, A5114, represents a set of replacement foam or fabric leg straps designed to secure a urinary leg bag to a patient's leg.The urinary leg bag itself is not included in this code; it refers solely to the replacement straps. These straps are essential for maintaining the secure placement of the urinary drainage bag, preventing leakage and ensuring patient comfort.
Example 1: A patient with urinary incontinence post-prostatectomy requires replacement leg straps for their existing urinary leg bag.The original straps are worn and no longer securely hold the bag., A patient with a neurogenic bladder uses a urinary leg bag for managing incontinence.The leg straps are damaged and need replacement to prevent leakage and skin irritation., A patient with multiple sclerosis experiences urinary incontinence and uses a urinary leg bag.The patient needs replacement leg straps to ensure the proper functioning and comfort of the drainage system.
Documentation should include the patient's diagnosis of urinary incontinence, the need for a urinary drainage bag, and the medical necessity for replacement leg straps.The type and quantity of straps should also be documented.
** This code is for the replacement straps only; the urinary leg bag itself is coded separately.Ensure accurate documentation to support medical necessity.
- Payment Status: Active
- Specialties:Urology, Geriatrics, Neurology
- Place of Service:Office, Home, Skilled Nursing Facility, Hospital