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A4352 — Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each

HCPCS Level II A-code · short descriptor: “Coude tip urinary catheter”

Code system
HCPCS Level II
Family
A — Medical & surgical supplies, ambulance
Medicare coverage status
Special coverage instructions apply
DMEPOS payment category
Ostomy, tracheostomy & urological supplies
Prior authorization
Not on Medicare required-PA list
Status
Active (April 2026 HCPCS)

Prior authorization

Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

A4352 Medicare fee schedule (April 2026)

Base (no modifier) Ostomy, tracheostomy & urological supplies

Medicare allowable ranges from $7.78 to $15.27 depending on state and rural status.

Former-CBA payment limits: ceiling $9.15 · floor $7.78

StateNon-ruralRural
AK$14.30
AL$9.15
AR$7.78
AZ$9.15
CA$9.15
CO$8.88
CT$9.15
DC$9.15
DE$9.15
FL$7.78
GA$8.99
HI$15.27
IA$9.15
ID$9.15
IL$7.78
IN$7.78
KS$9.15
KY$7.78
LA$7.78
MA$9.15
MD$9.15
ME$9.15
MI$7.78
MN$7.78
MO$9.15
MS$9.15
MT$7.78
NC$8.44
ND$7.78
NE$9.15
NH$9.15
NJ$9.15
NM$7.81
NV$9.15
NY$9.15
OH$7.78
OK$7.81
OR$9.15
PA$9.15
PR$11.08
RI$7.78
SC$9.15
SD$7.78
TN$7.78
TX$9.11
UT$7.78
VA$9.15
VI$9.15
VT$9.15
WA$9.15
WI$7.78
WV$7.78
WY$7.78
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026. Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%. A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area adjustments and non-continental rates can differ — verify with your DME MAC.

Common denial codes to watch

Related A-codes

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