2025 HCPCS code A4353

Intermittent urinary catheter and insertion supplies.

Use HCPCS code A4353 for intermittent urinary catheters and related insertion supplies. Do not report individual supply codes separately.Ensure documentation clearly reflects the clinical need and frequency of catheterization.

Medical necessity for intermittent catheterization is determined by the underlying condition affecting bladder function and the patient's inability to void naturally.Appropriate documentation should support the medical reason for intermittent catheterization.

The provider performs the intermittent catheterization, inserting and removing the catheter periodically to facilitate urine drainage.

IMPORTANT For a coude (curved) catheter, use A4352. For a straight tip catheter, use A4351. Do not bill separately for catheter insertion supplies when using A4353.

In simple words: This code covers the cost of using a catheter that is put in and taken out periodically to help drain urine. It also includes the supplies needed to insert the catheter, like lubricant, gloves, antiseptic, and a collection bag.

This code represents the use of an intermittent urinary catheter, including the necessary insertion supplies.Intermittent catheterization is the periodic insertion and removal of a catheter to drain urine. The included insertion supply kit typically contains lubricant, gloves, antiseptic solution, a collection tray, and/or a collection bag.

Example 1: A patient with neurogenic bladder requiring intermittent catheterization several times a day., A postoperative patient with temporary urinary retention needing intermittent catheterization until normal voiding returns., A patient with urinary incontinence using intermittent catheterization to manage bladder emptying and prevent skin breakdown.

Documentation should support the medical necessity of intermittent catheterization, including the diagnosis causing urinary dysfunction, frequency of catheterization, and type of catheter used.

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