HCPCS code A4351: Intermittent urinary catheter; straight tip, each

A4351 is for a straight-tip intermittent catheter. A4352 is for a coudé (curved) tip catheter. Medical records must justify the need for a coudé tip, such as a documented inability to pass a straight-tip catheter due to an obstruction.

The prescribed frequency should be documented in the patient's medical record. If there is a medical justification for a quantity above the maximum, an appeal may be filed for denied claims.

The SWO is the prescription from the physician. It must contain all the necessary information for the supplier to provide the correct item, including the specific HCPCS code, quantity, and frequency. This order must be consistent with the medical record.