Summary & Overview
HCPCS A4315: Insertion Tray with Drainage Bag and Two-Way Silicone Foley
HCPCS Level II code A4315 identifies an insertion tray that includes a drainage bag and an all-silicone, two-way Foley indwelling catheter intended for urinary catheterization. This code matters nationally because indwelling catheter supplies are commonly used across acute and post-acute care settings and have implications for device supply billing, infection control, and facility resource planning. Proper coding affects claim processing and supply tracking for inpatient, outpatient, and long-term care providers.
Key payers covered in the analysis include Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for A4315, typical sites of service, and the supply components it represents. The publication outlines expected billing considerations and where this supply fits within service lines.
The report presents benchmarks and coverage considerations where available, highlights relevant policy updates affecting HCPCS Level II supplies, and explains clinical contexts in which an insertion tray with drainage bag and Foley catheter is used. Data not provided in the input (such as associated taxonomies, specific ICD-10 pairings, related codes, and payer-specific reimbursement rates) are noted as unavailable. The focus is national in scope and aims to clarify code definition and practical billing context for health policy, revenue cycle, and clinical supply stakeholders.
Billing Code Overview
HCPCS Level II code A4315 represents an insertion tray with drainage bag with indwelling catheter, Foley type, two-way, all silicone. This supply typically covers a sterile insertion tray packaged with a drainage collection bag and an all-silicone, two-way Foley indwelling catheter intended for urinary catheterization.
Service Type: Durable medical supply / indwelling urinary catheter insertion kit
Typical Site of Service: Inpatient hospital, outpatient clinic, long-term care facility, or skilled nursing facility
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult male or female with urinary retention, neurogenic bladder, or perioperative need for short-term bladder drainage who requires insertion of an indwelling Foley catheter supplied as an insertion tray with an integrated drainage bag, two-way, all-silicone. The clinical workflow begins in an outpatient clinic, emergency department, or inpatient ward. The clinician or trained nurse performs standard infection-control preparation, obtains informed consent, confirms indication (e.g., acute urinary retention, accurate urine output measurement, or surgical urinary management), and assembles the sterile insertion tray. A sterile technique is used to insert the two-way Foley catheter, inflate the retention balloon with the recommended volume, connect the catheter to the supplied drainage bag, secure tubing, and document size, amount of balloon inflation, urine character, and patient tolerance. Post-insertion instructions include monitoring for signs of infection, catheter care, and scheduled catheter removal or replacement per facility protocol. Typical sites of service include inpatient wards, emergency departments, ambulatory surgical centers, and outpatient clinics.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | Unspecified | Rarely used; default when no other modifier applies. |
11 |