A4351 and A4352 are codes for individual intermittent catheters, with or without a coating. A4353 is a code for a complete kit that includes the catheter plus all the necessary sterile insertion supplies in one package.

HCPCS code A4353: Intermittent urinary catheter with insertion supplies
Equip yourself with the documentation and billing requirements needed to properly use and bill HCPCS code A4353 through this short guide.
Frequently asked questions
A "no-touch" catheter system is a type of catheter that can be coded as A4353, provided it's a sterile, self-contained system that includes all necessary supplies for sterile insertion without the use of additional components. Some "no-touch" systems without a collection chamber may be coded as A4351 or A4352.
Starting January 1, 2026, new HCPCS codes will be implemented to specifically differentiate between hydrophilic-coated and non-hydrophilic-coated intermittent catheters. This will create new codes (A4295, A4296, A4297) for hydrophilic catheters, and suppliers will need to stop using A4351, A4352, and A4353 for these products with dates of service on or after that date.
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