2025 HCPCS code A4352
Intermittent urinary catheter; coude (curved) tip, with or without coating (Teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each.
Modifiers may be applicable to clarify the circumstances of the service, such as modifier KX (Requirements specified in the medical policy have been met) to indicate that coverage criteria are fulfilled.
Medical necessity for A4352 is established when a patient has a documented medical condition requiring intermittent catheterization, and a coude tip is necessary due to anatomical factors or difficulty with straight catheters.
The healthcare provider is responsible for selecting the appropriate catheter type and size based on the patient's individual needs and anatomy, as well as performing the intermittent catheterization procedure using sterile technique to minimize the risk of infection.
In simple words: This is a special type of flexible tube used to empty urine from the bladder. It has a curved tip to make it easier to insert and may have a special coating to make it more comfortable. It's meant to be used and then removed, not left in place permanently.
This code represents a single-use, intermittent urinary catheter with a curved (coude) tip. The catheter may or may not have a coating such as Teflon, silicone, silicone elastomer, or hydrophilic coating.It is designed for intermittent catheterization, which is the periodic insertion and removal of a catheter to drain urine from the bladder.
Example 1: A male patient with an enlarged prostate experiences urinary retention and difficulty emptying his bladder completely.A coude catheter is used for intermittent catheterization to relieve the retention., A female patient with a urethral stricture is unable to use a straight catheter. A coude catheter is used to navigate the stricture and facilitate bladder drainage., A patient with neurogenic bladder requiring intermittent catheterization experiences discomfort with standard catheters. A coude catheter with a hydrophilic coating is used to improve comfort during insertion and reduce the risk of urethral trauma.
Documentation should support the medical necessity for intermittent catheterization and the specific need for a coude catheter.This may include documentation of urinary retention, anatomical abnormalities, or failed attempts with straight catheters. The type of coating, if any, should also be documented.
- Payment Status: Active
- Specialties:Urology, Primary Care, Nursing
- Place of Service:Home, Office, Inpatient Hospital, Skilled Nursing Facility, Nursing Facility, Hospice