HCPCS Level II A4316: Three-Way Foley Insertion Tray for Continuous Irrigation
HCPCS Level II code A4316 designates an insertion tray that includes a drainage bag and a three-way indwelling Foley catheter intended for continuous bladder irrigation. This code identifies a bundled supply and insertion service used primarily in surgical and acute care settings when continuous irrigation is required, such as after urologic procedures or to manage gross hematuria.
Key national payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Coverage and reimbursement policies for A4316 vary by payer and setting, with distinctions commonly drawn between inpatient, outpatient, and ambulatory procedure environments.
Readers will find clinical context for the device and common sites of use, a summary of which major payers cover the code, and an overview of the types of benchmarks and policy elements typically evaluated for HCPCS supply codes (coverage indications, site-of-service considerations, and billing practice notes). Data not available in the input includes payer-specific rate tables, associated ICD-10 diagnosis mappings, and related billing codes. The publication provides concise reference material to support coding, billing, and policy review for facilities and billing professionals working with three-way Foley catheter insertion trays.
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Billing Code Overview
HCPCS Level II code A4316 describes an insertion tray with drainage bag with indwelling catheter, Foley type, three-way, for continuous irrigation. This supply package is used to place and maintain a three-way indwelling urinary catheter designed to allow continuous bladder irrigation.
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Service type: Insertion and supply of a three-way Foley catheter system for continuous irrigation
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Typical site of service: Hospital inpatient or outpatient settings, surgical suites, and specialized procedural treatment areas where continuous bladder irrigation is performed