A4314 Foley Insertion Tray HCPCS Reimbursement | OpenPayer

Summary & Overview

HCPCS A4314: Foley Indwelling Catheter Insertion Tray with Drainage Bag

HCPCS Level II code A4314 designates an insertion tray that includes a Foley-type indwelling urinary catheter and attached drainage bag with a coated latex catheter. This supply-focused code is relevant to acute care, post-acute and long-term care settings where catheter insertion and continuous urinary drainage are necessary. Nationally, use of supply and device codes like A4314 affects hospital supply chains, outpatient procedure billing, and durable medical equipment workflows.

Key payers addressed in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical context for Foley catheter insertion and drainage, common sites of service, and how A4314 fits into supply and procedure billing lines. The publication outlines typical billing considerations, common modifiers used with device and supply claims, and how A4314 is reported on service lines. Where available, benchmark metrics and policy updates affecting HCPCS Level II supply codes are summarized.

This piece is intended for billing specialists, revenue cycle managers, clinicians involved in procedural supply selection, and policy analysts seeking concise, national-level context for HCPCS Level II code A4314.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicareA4314HCPCS Level IIFoley catheterurinary drainageinsertion traymedical suppliescatheterizationfacility billing

Billing Code Overview

HCPCS Level II code A4314 describes an insertion tray with drainage bag with indwelling catheter, Foley type, two-way latex with coating (Teflon, silicone, silicone elastomer or hydrophilic, etc.). The code covers a packaged insertion tray that includes a Foley-style indwelling urinary catheter and attached drainage bag designed for urinary catheterization and continuous drainage.

Service type: Catheter insertion and urinary drainage supply

Typical site of service: Hospital inpatient or outpatient settings, ambulatory surgical centers, emergency departments, and skilled nursing or long-term care facilities where Foley catheter insertion and drainage management are performed.

Clinical & Coding Specifications

Clinical Context

A typical patient is an adult inpatient or outpatient requiring short- to intermediate-term bladder drainage due to urinary retention, perioperative immobilization, or accurate urine output measurement. The clinician selects an insertion tray with a Foley-type indwelling catheter (two-way, latex with a hydrophilic or silicone coating) when a sterile, single-use kit expedites bedside Foley catheter placement in the emergency department, hospital ward, same-day surgery area, or long-term care facility. Typical workflow: clinician verifies indication and obtains informed consent as appropriate; performs hand hygiene and uses sterile technique; prepares a sterile field with the A4314 insertion tray containing the catheter and drainage bag; inserts the catheter using aseptic technique, inflates the retention balloon, attaches the drainage bag, documents catheter size, balloon volume, urine characteristics, and patient tolerance, and schedules catheter care or removal per facility protocol. Common clinical indications include acute urinary retention, bladder outlet obstruction, neurogenic bladder with temporary dysfunction, perioperative bladder decompression for surgeries anticipated to cause temporary urinary retention, and close urine output monitoring in critically ill patients. Typical sites of service are emergency departments, inpatient acute care units, same-day surgery/ambulatory surgical centers, and long-term care facilities.

Coding Specifications

Modifier	Description	When to Use
`26`

HCPCS A6024: Collagen Dressing Wound Filler, Sterile, per 6 Inches

HCPCS-A4431-URINARY-OSTOMY-POUCH-FAUCET-VALVE-ONE-PIECE

HCPCS A4431: Urinary Ostomy Pouch with Faucet-Type Tap, One-Piece

HCPCS-A4580-CAST-SUPPLIES-PLASTER

HCPCS Level II A4580: Cast Supplies (Plaster)

HCPCS-A6553-BELOW-KNEE-CUSTOM-COMPRESSION-STOCKING-30-40MMHG

HCPCS A6553: Below-Knee Custom Gradient Compression Stocking, 30–40 mmHg

HCPCS-A6242-HYDROGEL-WOUND-DRESSING-16-SQ-IN-OR-LESS

HCPCS A6242: Hydrogel Wound Dressing, Sterile, ≤16 sq. in.

HCPCS-A4559-ULTRASOUND-COUPLING-GEL-PER-OUNCE

HCPCS A4559: Ultrasound Coupling Gel or Paste, Per Ounce

HCPCS-A6240-HYDROCOLLOID-WOUND-FILLER-PASTE-STERILE-PER-OUNCE

HCPCS A6240: Hydrocolloid Dressing, Wound Filler, Paste, Sterile, per Ounce

HCPCS-A4563-RECTAL-CONTROL-SYSTEM-VAGINAL-INSERTION-LONG-TERM

HCPCS A4563: Rectal Control System for Vaginal Insertion, Long-Term Use

HCPCS-A6021-COLLAGEN-DRESSING-16-SQ-IN-OR-LESS

HCPCS A6021: Collagen Dressing, Sterile, ≤16 sq. in.

HCPCS-A4453-RECTAL-CATHETER-TRANSANAL-IRRIGATION

HCPCS A4453: Rectal Catheter for Transanal Irrigation

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Taxonomy Code	Specialty	Notes
`363A00000X`	Urology	Urologists commonly place indwelling Foley catheters in clinic, ED, or OR settings.
`207L00000X`	General Surgery	General surgeons manage perioperative bladder drainage and urinary catheter placement in surgical patients.
`103T00000X`	Emergency Medicine	Emergency physicians frequently perform bedside Foley catheter insertions for acute urinary retention.
`334600000X`	Internal Medicine	Hospitalists and internists often place catheters for inpatient management and urine output monitoring.
`234700000X`	Family Medicine	Family physicians place catheters in outpatient, long-term care, and urgent care settings.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`N39.0`	Urinary tract infection, site not specified	Indwelling catheters are often used to collect urine samples or manage retention; presence of infection may influence catheter management.
`R33.9`	Retention of urine, unspecified	Primary indication for Foley catheter insertion to relieve urinary retention.
`N13.8`	Other obstructive and reflux uropathy	Bladder outlet obstruction or ureteral issues leading to need for catheter drainage.
`N31.9`	Neuromuscular dysfunction of bladder, unspecified	Neurogenic bladder causing urinary retention or incontinence, necessitating indwelling catheterization in select cases.
`Z48.02`	Encounter for removal of indwelling urethral catheter	Relevant for the episode of care when the catheter is subsequently removed; documents related care.
`Z51.81`	Encounter for therapeutic drug monitoring	Included when catheterization is performed to facilitate inpatient monitoring and administration in complex care (e.g., ICU urine output tracking).
`R39.15`	Urgency of urination	Symptom that may co-occur with conditions leading to catheter placement for evaluation or management.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`51701`	Insertion of indwelling urethral catheter; simple (e.g., Foley)	Directly corresponds to the insertion procedure performed using the `A4314` tray; documents the insertion service by a clinician.
`51702`	Insertion of indwelling urethral catheter, male, with urethral dilation	Used when insertion requires dilation due to urethral stricture or resistance encountered during Foley placement.
`54150`	Circumcision, using clamp or other device; newborn	Listed as an example of unrelated but perioperative urologic CPT codes—use only if relevant to concurrent procedures.
`11042`	Debridement, subcutaneous tissue (simple example of a minor procedure)	May be billed for wound care or perineal procedures performed concurrently with catheter placement when medically necessary.
`99024`	Postoperative follow-up visit, normally included in global service	Use in the context of postoperative visits related to procedures where catheterization occurred during the surgical episode.

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