In simple words: This code is for a special type of catheter (a thin tube) placed inside the bladder to drain urine. It has three openings: one for urine to flow out, one to inflate a balloon to keep it in place, and one to continuously flush the bladder with fluid, which is often necessary to prevent infection.

This HCPCS code, A4346, represents a three-way Foley-type indwelling catheter designed for continuous bladder irrigation.The catheter features three lumens: one for urine drainage, one for balloon inflation to secure placement within the bladder, and a third for continuous irrigation fluid delivery. This type of catheter is used for managing bladder infections or post-surgical conditions requiring continuous flushing.

Example 1: A patient undergoing a transurethral resection of the prostate (TURP) requires continuous bladder irrigation to remove blood clots and debris. A three-way Foley catheter (A4346) is inserted post-procedure., A patient with a urinary tract infection (UTI) unresponsive to antibiotics requires continuous bladder irrigation to clear the infection.A three-way Foley catheter (A4346) is inserted for this purpose., Following a bladder surgery, continuous irrigation is necessary to prevent clot formation and maintain patency of the catheter. A three-way Foley catheter (A4346) is used for this continuous irrigation.

* Physician order specifying the need for a three-way Foley catheter and continuous bladder irrigation.* Documentation of the procedure for catheter insertion, including date and time.* Charting of the irrigation solution used, volume, and frequency.* Progress notes reflecting the patient's response to the continuous irrigation therapy.

** Ensure proper documentation of the type of catheter and the reason for continuous irrigation.The code is for the catheter itself; separate codes may be needed for insertion or removal procedures and the irrigation fluid.