MyMedi-AI

A6590 — External urinary catheters; disposable, with wicking material, for use with suction pump, per month

HCPCS Level II A-code · short descriptor: “Urinary cath disp suc pump”

Code system
HCPCS Level II
Family
A — Medical & surgical supplies, ambulance
Medicare coverage status
Carrier judgment — coverage decided by the DME MAC
DMEPOS payment category
Supplies
Prior authorization
Not on Medicare required-PA list
Face-to-face & WOPD
Not on the required list
MUE unit limit
1
Status
Active (HCPCS Level II October 2026)

Prior authorization

Not on the Medicare required-PA list (CMS Required Prior Authorization List — 74 items in force on 2026-10-25; 8 more from 2026-10-28; sources: CMS list updated 2026-01-13, CMS-6109-N (91 FR 47972)). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

Order readiness — what the written order must contain

Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):

  • Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
  • General description of the item (42 CFR 410.38(d)(1)(i)(B))
  • Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
  • Order date (42 CFR 410.38(d)(1)(i)(D))
  • Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
  • Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))

Not on the F2F/WOPD list (CMS Required F2F & WOPD List — 83 items in force on 2026-10-25; 22 more from 2026-10-28; sources: CMS list effective 2026-04-13 (91 FR 1250), CMS-6109-N (91 FR 47972)). The standard written order must reach the supplier before claim submission.

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.

A6590 Medicare fee schedule (October 2026)

Base (no modifier) Supplies

Medicare allowable ranges from $379.20 to $497.40 depending on state and rural status.

StateNon-ruralRural
AK$464.40—
AL$446.10—
AR$432.60—
AZ$446.10—
CA$446.10—
CO$446.10—
CT$379.20—
DC$446.10—
DE$446.10—
FL$421.80—
GA$437.70—
HI$497.40—
IA$446.10—
ID$422.40—
IL$446.10—
IN$446.10—
KS$417.00—
KY$442.50—
LA$432.60—
MA$379.20—
MD$446.10—
ME$379.20—
MI$444.90—
MN$432.60—
MO$446.10—
MS$446.10—
MT$446.10—
NC$438.60—
ND$446.10—
NE$417.00—
NH$379.20—
NJ$446.10—
NM$446.10—
NV$446.10—
NY$446.10—
OH$405.00—
OK$446.10—
OR$422.40—
PA$446.10—
PR$462.60—
RI$421.80—
SC$442.50—
SD$446.10—
TN$421.20—
TX$379.20—
UT$446.10—
VA$421.80—
VI$446.10—
VT$379.20—
WA$446.10—
WI$446.10—
WV$432.60—
WY$446.10—
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). 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.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps A6590 at 1 unit per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Code Descriptor / CPT Instruction.

Common denial codes to watch

Related A-codes

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