A6591 HCPCS code: External urinary catheter; non-disposable, for use with suction pump, per month
A6591 is the HCPCS Level II code for external urinary catheter; non-disposable, for use with suction pump, per month. The 2026 Medicare DMEPOS fee schedule pays $90.64 depending on the state. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 1 per day on DME suppliers. Its average fee ranks 20 of 63 A65 codes (family range $0.18–$1,274.45).
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 34 — DMEPOS: supplies necessary for the effective use of DME |
| BETOS category | D1E — Other durable medical equipment |
| Added | 2023-04-01 |
| Last action effective | 2023-04-01 |
2026 Medicare DMEPOS fee schedule for A6591
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $90.64 | $90.64 | $90.64 | $77.04 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $90.64 | — |
| AL | — | $90.64 | — |
| AR | — | $90.64 | — |
| AZ | — | $90.64 | — |
| CA | — | $90.64 | — |
| CO | — | $90.64 | — |
| CT | — | $90.64 | — |
| DC | — | $90.64 | — |
| DE | — | $90.64 | — |
| FL | — | $90.64 | — |
| GA | — | $90.64 | — |
| HI | — | $90.64 | — |
| IA | — | $90.64 | — |
| ID | — | $90.64 | — |
| IL | — | $90.64 | — |
| IN | — | $90.64 | — |
| KS | — | $90.64 | — |
| KY | — | $90.64 | — |
| LA | — | $90.64 | — |
| MA | — | $90.64 | — |
| MD | — | $90.64 | — |
| ME | — | $90.64 | — |
| MI | — | $90.64 | — |
| MN | — | $90.64 | — |
| MO | — | $90.64 | — |
| MS | — | $90.64 | — |
| MT | — | $90.64 | — |
| NC | — | $90.64 | — |
| ND | — | $90.64 | — |
| NE | — | $90.64 | — |
| NH | — | $90.64 | — |
| NJ | — | $90.64 | — |
| NM | — | $90.64 | — |
| NV | — | $90.64 | — |
| NY | — | $90.64 | — |
| OH | — | $90.64 | — |
| OK | — | $90.64 | — |
| OR | — | $90.64 | — |
| PA | — | $90.64 | — |
| PR | — | $90.64 | — |
| RI | — | $90.64 | — |
| SC | — | $90.64 | — |
| SD | — | $90.64 | — |
| TN | — | $90.64 | — |
| TX | — | $90.64 | — |
| UT | — | $90.64 | — |
| VA | — | $90.64 | — |
| VI | — | $90.64 | — |
| VT | — | $90.64 | — |
| WA | — | $90.64 | — |
| WI | — | $90.64 | — |
| WV | — | $90.64 | — |
| WY | — | $90.64 | — |
How the A6591 fee compares
| Measure | Value |
|---|---|
| Rank among 63 A65 codes (lowest = 1) | 20 |
| Family fee range (average of state fees) | $0.18–$1,274.45 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
| outpatient hospital claims | 1 | Code Descriptor / CPT Instruction |
| practitioner claims | 1 | Code Descriptor / CPT Instruction |
What changed for A6591
- 2026-01-01: Average state fee rose 2.0%: $88.86 to $90.64
- 2023-04-01: A6591 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 A6591?
A6591 is the HCPCS Level II code for external urinary catheter; non-disposable, for use with suction pump, per month. Short descriptor: "Urinary cath suc pump".
How much does Medicare pay for A6591?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $90.64. Rural fees can be higher.
Does Medicare cover A6591?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for A6591 change in 2026?
The average non-rural state fee moved from $88.86 in 2025 to $90.64 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of A6591 can be billed per day?
1 on DME suppliers; 1 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).
Related A65 codes
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- A6502 — Compression burn garment, chin strap, custom fabricated
- A6503 — Compression burn garment, facial hood, custom fabricated
- A6504 — Compression burn garment, glove to wrist, custom fabricated
- A6505 — Compression burn garment, glove to elbow, custom fabricated
- A6506 — Compression burn garment, glove to axilla, custom fabricated
- A6507 — Compression burn garment, foot to knee length, custom fabricated
- A6508 — Compression burn garment, foot to thigh length, custom fabricated
- A6509 — Compression burn garment, upper trunk to waist including arm openings (vest), custom fabricated
- A6510 — Compression burn garment, trunk, including arms down to leg openings (leotard), custom fabricated
- A6511 — Compression burn garment, lower trunk including leg openings (panty), custom fabricated
- A6512 — Compression burn garment, not otherwise classified
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Next steps
- Run a reimbursement report for a device billed under A6591
- Watch A6591 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A6591
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.