HCPCS Code A4357: Bedside Drainage Bag, Day or Night, With or Without Anti-Reflux Device, With or Without Tube, Each

HCPCS code A4357 is for a bedside drainage bag used to collect urine, intended for day or night use. It may come with or without an anti-reflux device and with or without a tube, each unit billed separately. It falls under incontinence supplies and is often prescribed for patients using indwelling urethral catheters, intermittent urinary catheter systems, and urinary catheter anchoring devices as part of a urinary drainage collection system.

Medicare covers HCPCS code A4357 when used to drain or collect urine for a beneficiary with permanent urinary incontinence or permanent urinary retention, when reasonable and necessary and all other Medicare requirements are met.

HCPCS code A4357 documentation requirements include maintaining medical records supporting the medical necessity, diagnosis, and frequency of use. Suppliers must keep proof of delivery (POD) and document any refills with beneficiary confirmation. Documentation must be available for Medicare review upon request.