A4340 HCPCS code: Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each
A4340 is the HCPCS Level II code for indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each. The 2026 Medicare DMEPOS fee schedule pays $38.46 to $49.76 depending on the state. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 3 per day on DME suppliers. Medicare volume fell 11% from 2022 to 2024 (15,955 to 14,200 services). In 2024, 372 suppliers billed Medicare for A4340 (purchases), serving 2,688 beneficiaries; Pennsylvania, Texas, Minnesota accounted for 17% of services. Its average fee ranks 60 of 68 A43 codes (family range $0.05–$878.06).
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 37 — DMEPOS: ostomy, tracheostomy and urological supplies |
| BETOS category | D1F — Prosthetic and orthotic devices |
| Added | 1990-01-01 |
| Last action effective | 1996-01-01 |
2026 Medicare DMEPOS fee schedule for A4340
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $38.46 | $49.76 | $45.25 | $38.46 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $40.40 | — |
| AL | — | $45.09 | — |
| AR | — | $45.25 | — |
| AZ | — | $45.25 | — |
| CA | — | $40.00 | — |
| CO | — | $45.25 | — |
| CT | — | $45.25 | — |
| DC | — | $45.25 | — |
| DE | — | $45.25 | — |
| FL | — | $45.25 | — |
| GA | — | $38.63 | — |
| HI | — | $43.19 | — |
| IA | — | $43.25 | — |
| ID | — | $45.25 | — |
| IL | — | $38.46 | — |
| IN | — | $38.46 | — |
| KS | — | $38.46 | — |
| KY | — | $38.93 | — |
| LA | — | $45.25 | — |
| MA | — | $45.25 | — |
| MD | — | $45.25 | — |
| ME | — | $45.25 | — |
| MI | — | $38.46 | — |
| MN | — | $38.46 | — |
| MO | — | $41.43 | — |
| MS | — | $38.46 | — |
| MT | — | $38.46 | — |
| NC | — | $38.46 | — |
| ND | — | $45.25 | — |
| NE | — | $38.46 | — |
| NH | — | $43.25 | — |
| NJ | — | $45.25 | — |
| NM | — | $41.27 | — |
| NV | — | $38.46 | — |
| NY | — | $45.25 | — |
| OH | — | $38.46 | — |
| OK | — | $41.27 | — |
| OR | — | $45.25 | — |
| PA | — | $45.25 | — |
| PR | — | $49.76 | — |
| RI | — | $45.25 | — |
| SC | — | $38.46 | — |
| SD | — | $45.25 | — |
| TN | — | $45.25 | — |
| TX | — | $45.25 | — |
| UT | — | $38.46 | — |
| VA | — | $45.25 | — |
| VI | — | $45.25 | — |
| VT | — | $45.25 | — |
| WA | — | $45.25 | — |
| WI | — | $45.25 | — |
| WV | — | $38.46 | — |
| WY | — | $45.25 | — |
How the A4340 fee compares
| Measure | Value |
|---|---|
| Rank among 68 A43 codes (lowest = 1) | 60 |
| Family fee range (average of state fees) | $0.05–$878.06 |
| Rural fee uplift | — |
Who bills A4340 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 372 |
| Referring clinicians | 2,009 |
| Medicare beneficiaries | 2,688 |
| States with claims | 49 |
| Share of services in top 3 states (Pennsylvania, Texas, Minnesota) | 17% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 425 | 3,325 |
| 2023 | 390 | 2,937 |
| 2024 | 372 | 2,688 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for A4340, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 15,955 | 3,325 | $35.78 | $26.31 |
| 2023 | 14,846 | 2,937 | $38.89 | $28.49 |
| 2024 | 14,200 | 2,688 | $39.97 | $29.53 |
States with the most A4340 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Pennsylvania | 863 | $31.32 |
| Texas | 800 | $32.53 |
| Minnesota | 797 | $26.85 |
| California | 791 | $28.04 |
| Florida | 759 | $32.30 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 3 | Published Contractor Policy |
| outpatient hospital claims | 2 | Clinical: Data |
What changed for A4340
- 2026-01-01: Average state fee rose 2.0%: $41.93 to $42.77
- 1990-01-01: A4340 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code A4340?
A4340 is the HCPCS Level II code for indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each. Short descriptor: "Indwelling catheter special".
How much does Medicare pay for A4340?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $38.46–$49.76. Rural fees can be higher.
Does Medicare cover A4340?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for A4340 change in 2026?
The average non-rural state fee moved from $41.93 in 2025 to $42.77 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of A4340 can be billed per day?
3 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related A43 codes
- A4300 — Implantable access catheter, (e.g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access
- A4301 — Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)
- A4305 — Disposable drug delivery system, flow rate of 50 ml or greater per hour
- A4306 — Disposable drug delivery system, flow rate of less than 50 ml per hour
- A4310 — Insertion tray without drainage bag and without catheter (accessories only) ($9.36–$25.22)
- A4311 — Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) ($16.05–$28.00)
- A4312 — Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone ($21.85–$36.59)
- A4313 — Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation ($22.44–$40.49)
- A4314 — Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) ($30.63–$41.77)
- A4315 — Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone ($31.95–$48.37)
- A4316 — Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation ($34.40–$48.37)
- A4318 — Female external urinary collection cup, with or without ring attachment, per day
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under A4340
- Watch A4340 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A4340
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.