A4352 Coude Intermittent Catheter HCPCS Reimbursement | OpenPayer

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A4352 Coude Intermittent Catheter HCPCS Reimbursement | OpenPayer

Modifier	Description	When to Use
`00`	Routine/No modifier	Use when no specific modifier applies; standard reporting.
`52`	Reduced services	Use when a lesser service than described is performed (e.g., attempted but incomplete insertion).
`53`	Discontinued procedure	Use when catheterization was started but discontinued due to patient instability or obstruction.
`59`	Data not available in the input.	Data not available in the input.
`62`	Two surgeons	Use when two providers of equal specialty jointly perform the procedure (rare for catheter supply).
`78`	Unplanned return to OR	Use when a patient returns to the operating room for a complication related to prior procedure (unlikely for outpatient catheter supply).
`80`	Assistant at surgery	Use when an assistant surgeon is involved (uncommon for catheter placement in office).
`82`	Assistant surgeon (when qualified resident unavailable)	Use when a nonresident assistant is required.
`AS`	Physician assistant, nurse practitioner, or clinical nurse specialist services	Use to identify services furnished by these non-physician practitioners.
`AU`	Services by a nurse practitioner	Use when a nurse practitioner provides the service.
`KX`	Requirements specified in the medical policy have been met	Use when payer-specific criteria for medical necessity are satisfied.
`NU`	New equipment	Use when the item is new (typically for durable medical equipment; applies if first-time supply).
`QX`	Service furnished under a specific billing arrangement	Use for supervision type or billing arrangement with auxiliary personnel.
`RR`	Recovery room	Use when billing relates to services in the recovery room setting (rare for routine catheter supply).
`UE`	Left-sided service	Use to indicate left side when laterality is required (not typically applicable for urinary catheter supply).

Taxonomy Code	Specialty	Notes
`363L00000X`	Urology	Urologists prescribe and manage intermittent catheterization plans.
`207Q00000X`	Family Medicine	Primary care physicians often initiate catheter supply for chronic retention.
`163W00000X`	Internal Medicine	Internists manage chronic urinary retention and coordinate supplies.
`363A00000X`	Physician Assistant	PAs perform catheterization and patient education under supervision.
`363L00000X`	Advanced Practice Registered Nurse (APRN)	APRNs provide assessment, prescribe supplies, and teach technique.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`N40.1`	Benign prostatic hyperplasia with lower urinary tract symptoms	Enlarged prostate causing urinary retention; coude catheter often required to pass prostatic curve.
`N13.2`	Hydronephrosis with ureteral stricture	Obstructive uropathy may necessitate intermittent catheterization to relieve retention.
`N39.0`	Urinary tract infection, site not specified	Recurrent UTIs can be related to catheterization; used in documentation when infections occur.
`N32.81`	Overactive bladder	Patients with voiding dysfunction may require intermittent catheterization to manage retention episodes.
`N99.0`	Postprocedural urinary tract infection	Coded when catheter use is associated with procedure-related infection.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`51701`	Insertion of temporary indwelling bladder catheter; simple (e.g., Foley)	May be performed when intermittent catheterization fails or indwelling catheterization is required after failed `A4352` use.
`51702`	Insertion of temporary indwelling bladder catheter, complicated (e.g., with irrigation and/or change of catheter over guide)	Performed when urethral anatomy requires a more complex approach than intermittent coude catheter use.
`51784`	Measurement of post-void bladder residual urine and/or bladder capacity by bladder ultrasound	Often used before or after intermittent catheterization to document residual volume and need for ongoing `A4352` supplies.
`51741`	Complex uroflowmetry, with interpretation and report	May be performed in the evaluation of voiding dysfunction leading to the need for intermittent catheterization.
`99406`	Smoking and tobacco use cessation counseling, intermediate	Data not available in the input.