A4353 HCPCS code: Intermittent urinary catheter, with insertion supplies

A4353 is the HCPCS Level II code for intermittent urinary catheter, with insertion supplies. The 2026 Medicare DMEPOS fee schedule pays $9.97 to $10.97 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 600 per day on DME suppliers. Medicare volume fell 29% from 2022 to 2024 (1,409 to 998 services). In 2024, 672 suppliers billed Medicare for A4353 (purchases), serving 244,723 beneficiaries; Illinois, Texas, Florida accounted for 24% of services. Its average fee ranks 31 of 68 A43 codes (family range $0.05–$878.06).

Code details

2026 Medicare DMEPOS fee schedule for A4353

How the A4353 fee compares

Who bills A4353 (2024)

Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.

Medicare utilization for A4353, 2022–2024

States with the most A4353 services (2024)

NCCI unit limits (MUE)

Medicare policy articles for this code

• A52521: Urological Supplies - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance

Covered diagnoses (1 ICD-10-CM codes)

The diagnoses most often listed as covered in the policy articles above:

What changed for A4353

• 2026-01-01: Average state fee rose 2.0%: $9.82 to $10.02
• 1997-01-01: A4353 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 A4353?

A4353 is the HCPCS Level II code for intermittent urinary catheter, with insertion supplies. Short descriptor: "Intermittent urinary cath".

How much does Medicare pay for A4353?

Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $9.97–$10.97. Rural fees can be higher.

Does Medicare cover A4353?

Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.

Which diagnoses support coverage for A4353?

Medicare policy articles that cite A4353 list 1 covered ICD-10-CM diagnosis codes across 1 article. The most cited include N39.3 (Stress incontinence (female) (male)). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.

Did the Medicare fee for A4353 change in 2026?

The average non-rural state fee moved from $9.82 in 2025 to $10.02 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of A4353 can be billed per day?

600 on DME suppliers; 3 on outpatient hospital claims; 1 on practitioner 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)
• A4320 — Irrigation tray with bulb or piston syringe, any purpose ($6.34–$8.42)

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Next steps

• Run a reimbursement report for a device billed under A4353
• Watch A4353 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for A4353

Sources: CMS HCPCS Level II release October 2025; 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.

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