2025 HCPCS code A4340

Specialty type catheter for indwelling catheter placement.

Use A4340 for specialty indwelling catheters only.For standard indwelling catheters, use the appropriate alternative codes (A4338-A4346).

Medical necessity for A4340 is determined by the patient's specific condition and the clinical rationale for requiring a specialty type of indwelling catheter.Factors like anatomical abnormalities, neurological conditions affecting bladder function, or the need for long-term catheterization can justify the use and medical necessity of specialty catheters.

The provider inserts a specialty type catheter for indwelling catheter placement. The provider selects and uses the appropriate special catheter.

IMPORTANT For other types of indwelling catheters, see codes A4338 to A4346.

In simple words: This code is for a special type of catheter that stays in the bladder.It has a curved tip or wings to keep it from falling out.

This code represents the use of a specialty type catheter (e.g., coude, mushroom, wing tip) for an indwelling catheter insertion procedure.An indwelling catheter remains in the bladder.Special catheters have features designed to hold the catheter in place.

Example 1: A 70-year-old male patient with benign prostatic hyperplasia (BPH) undergoes an indwelling catheter placement using a coude catheter due to his enlarged prostate., A 55-year-old female with multiple sclerosis requires an indwelling catheter.A mushroom catheter is inserted to help maintain placement due to potential bladder spasms., A 30-year-old male patient with a spinal cord injury requires long-term indwelling catheterization. A wing tip catheter is placed for stability.

Documentation should support the medical necessity for the specific type of indwelling catheter used. The reason for choosing the specific type of catheter, like a coude catheter for an enlarged prostate, must be clearly documented in the patient's medical record. The insertion procedure, patient tolerance, and any complications should also be noted.

  • Specialties:Urology, Internal Medicine, Family Medicine, Geriatrics, Physical Medicine and Rehabilitation
  • Place of Service:Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Ambulatory Surgical Center, Skilled Nursing Facility, Nursing Facility, Home, Office, Other Place of Service
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