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.

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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.

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HCPCS A4314: Foley Indwelling Catheter Insertion Tray with Drainage Bag

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Billing Code Overview

Service type: Catheter insertion and urinary drainage supply

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.

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.

Related Modifiers

8 rows

Modifier	Description	When to Use
26	Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…	- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
62	Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…	- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
80	CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…	- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…
82	Modifier 82 is appended to a surgical CPT code to indicate that an attending physician acted as an assistant because a qualified resident surgeon was unavailable. In teaching hospitals it documents…	- When to use: Append modifier 82 in teaching-hospital settings to indicate a physician served as an assistant surgeon because a qualified resident surgeon was unavailable (includes situations where…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
363A00000X	Physician Assistant	A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and…
207L00000X	Anesthesiology Physician	An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
103T00000X	Psychologist	A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, a…
2472V0600X	Veterinary Technician	None
3747P1801X	Personal Care Attendant	An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. …
224L00000X	Pedorthist	An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, a…
2251H1300X	Human Factors Physical Therapist	Respiratory, Developmental, Rehabilitative and Restorative Service Providers · Physical Therapist
364SP0809X	Adult Psychiatric/Mental Health Clinical Nurse Specialist	Physician Assistants & Advanced Practice Nursing Providers · Clinical Nurse Specialist

Related Codes

HCPCS-A4206-STERILE-SYRINGE-1CC-NEEDLE

HCPCS Level II A4206: Sterile Syringe with Needle, 1 cc or Less

HCPCS-A4207-STERILE-2CC-SYRINGE-WITH-NEEDLE

HCPCS A4207: Syringe with Needle, Sterile 2 cc, Each

HCPCS-A4208-STERILE-3CC-SYRINGE-WITH-NEEDLE

HCPCS Level II A4208: Syringe with Needle, Sterile 3 cc, Each

HCPCS-A4209-STERILE-SYRINGE-WITH-NEEDLE-5CC-OR-GREATER

HCPCS A4209: Syringe with Needle, Sterile 5 cc or Greater

HCPCS-A4210-NEEDLE-FREE-INJECTION-DEVICE

HCPCS A4210: Needle-Free Injection Device, Single

HCPCS-A4211-SUPPLIES-SELF-ADMINISTERED-INJECTIONS

HCPCS A4211: Supplies for Self-Administered Injections

HCPCS-A4212-NON-CORING-NEEDLE-STYLET-CATHETER-ACCESS-SUPPLY

HCPCS Level II A4212: Non-coring Needle or Stylet with or without Catheter

HCPCS-A4213-STERILE-SYRINGE-20CC-OR-GREATER

HCPCS Level II A4213: Sterile Syringe, 20 cc or Greater

HCPCS-A4215-STERILE-NEEDLE-SINGLE-EACH

HCPCS Level II A4215: Sterile Needle, Single Use, Each

HCPCS-A4216-STERILE-DILUENT-FLUSH-10ML

HCPCS A4216: Sterile Diluent/Flush, 10 ml

Showing 1–10 of 633

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Clinical & Coding Specifications

Clinical Context

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.

Related Modifiers

8 rows

Modifier	Description	When to Use
26	Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…	- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
62	Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…	- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
78	CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…	- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
80	CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…	- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…
82	Modifier 82 is appended to a surgical CPT code to indicate that an attending physician acted as an assistant because a qualified resident surgeon was unavailable. In teaching hospitals it documents…	- When to use: Append modifier 82 in teaching-hospital settings to indicate a physician served as an assistant surgeon because a qualified resident surgeon was unavailable (includes situations where…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
363A00000X	Physician Assistant	A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and…
207L00000X	Anesthesiology Physician	An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
103T00000X	Psychologist	A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, a…
2472V0600X	Veterinary Technician	None
3747P1801X	Personal Care Attendant	An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. …
224L00000X	Pedorthist	An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, a…
2251H1300X	Human Factors Physical Therapist	Respiratory, Developmental, Rehabilitative and Restorative Service Providers · Physical Therapist
364SP0809X	Adult Psychiatric/Mental Health Clinical Nurse Specialist	Physician Assistants & Advanced Practice Nursing Providers · Clinical Nurse Specialist

Related Codes

HCPCS-A4206-STERILE-SYRINGE-1CC-NEEDLE

HCPCS Level II A4206: Sterile Syringe with Needle, 1 cc or Less

HCPCS-A4207-STERILE-2CC-SYRINGE-WITH-NEEDLE

HCPCS A4207: Syringe with Needle, Sterile 2 cc, Each

HCPCS-A4208-STERILE-3CC-SYRINGE-WITH-NEEDLE

HCPCS Level II A4208: Syringe with Needle, Sterile 3 cc, Each

HCPCS-A4209-STERILE-SYRINGE-WITH-NEEDLE-5CC-OR-GREATER

HCPCS A4209: Syringe with Needle, Sterile 5 cc or Greater

HCPCS-A4210-NEEDLE-FREE-INJECTION-DEVICE

HCPCS A4210: Needle-Free Injection Device, Single

HCPCS-A4211-SUPPLIES-SELF-ADMINISTERED-INJECTIONS

HCPCS A4211: Supplies for Self-Administered Injections

HCPCS-A4212-NON-CORING-NEEDLE-STYLET-CATHETER-ACCESS-SUPPLY

HCPCS Level II A4212: Non-coring Needle or Stylet with or without Catheter

HCPCS-A4213-STERILE-SYRINGE-20CC-OR-GREATER

HCPCS Level II A4213: Sterile Syringe, 20 cc or Greater

HCPCS-A4215-STERILE-NEEDLE-SINGLE-EACH

HCPCS Level II A4215: Sterile Needle, Single Use, Each

HCPCS-A4216-STERILE-DILUENT-FLUSH-10ML

HCPCS A4216: Sterile Diluent/Flush, 10 ml

Showing 1–10 of 633

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

HCPCS A4314: Foley Indwelling Catheter Insertion Tray with Drainage Bag

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Billing Code Overview

HCPCS A4314: Foley Indwelling Catheter Insertion Tray with Drainage Bag

Sign up for hcpcs A4314 policy alerts

Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Related Diagnoses

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What does HCPCS code A4314 represent and where is it typically used?

How does A4314 relate to CPT codes for catheter insertion?

What clinical indications and workflow are described for using the A4314 insertion tray?

Which billing modifiers are noted as potentially relevant when reporting services related to A4314?

Which payers and sites of service are highlighted for A4314, and does the page provide reimbursement rates?

References

Clinical & Coding Specifications

Clinical Context

Related Diagnoses

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What does HCPCS code A4314 represent and where is it typically used?

How does A4314 relate to CPT codes for catheter insertion?

What clinical indications and workflow are described for using the A4314 insertion tray?

Which billing modifiers are noted as potentially relevant when reporting services related to A4314?

Which payers and sites of service are highlighted for A4314, and does the page provide reimbursement rates?

References