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    v1.0.30
    OpenPayerBilling CodesMedical And Surgical SuppliesHCPCS hcpcs-a4353-intermittent-urinary-catheter-with-insertion-supplies
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    HCPCS A4353: Intermittent urinary catheter, with insertion supplies

    HCPCS Level II code A4353 describes an intermittent urinary catheter with insertion supplies used for intermittent catheterization; the service represents provision of a sterile or clean single-use catheter kit including necessary supplies for catheter insertion, typically provided as durable medical equipment for home or outpatient bladder management and performed in home care, outpatient clinic, or long-term care settings where intermittent catheterization is required for urinary drainage.

    For related coverage guidance, see recent payer policy updates: Diabetic Supplies, Radiofrequency Ablation for Thyroid Nodules, Continuous Glucose Monitoring and Insulin Delivery for Managing Diabetes (for Idaho Only).

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    Clinical & Coding Specifications

    Clinical Context

    A typical patient is an adult with urinary retention or chronic neurogenic bladder who requires intermittent catheterization for bladder drainage. The patient may present in an outpatient clinic, home health visit, long-term care facility, or emergency department with symptoms of incomplete bladder emptying, elevated post-void residual, recurrent urinary tract infections, or as part of a planned regimen for chronic care (e.g., spinal cord injury, multiple sclerosis). A clinician (urologist, primary care physician, or trained nurse) assesses the need for intermittent catheterization, documents indication, frequency, and patient instruction needs, and orders A4353 when a single-use intermittent urinary catheter with insertion supplies (lubricant, syringe if needed, drainage bag or collection container as specified) is provided. The clinical workflow includes evaluation of bladder function, patient or caregiver training on aseptic technique, supply provision or prescription, and documentation of diagnosis linking (e.g., urinary retention). Follow-up includes monitoring for complications such as catheter-associated urinary tract infection and reassessment of ongoing need for intermittent catheter supplies.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    51701Bladder catheterization, simple (e.g., for residua measurement)Performed to obtain a single catheterized urine sample or measure post-void residual prior to ordering supplies or as part of initial assessment
    51702Bladder catheterization, with irrigation and/or instillationUsed when bladder irrigation or instillation is necessary in conjunction with catheter use
    51798Measurement of post-void residual urine and/or bladder capacity by catheterizationRelated diagnostic measure to document need for intermittent catheterization supplies
    94640Pressurized or non-pressurized administration, inhalation treatment for airway (included as example of unrelated procedure)Data not available in the input.
    99070Supplies and materials (except spectacles), used for direct patient careUsed when additional non-covered supplies related to catheterization are billed by the provider

    Related Modifiers

    6 rows

    ModifierDescriptionWhen to Use
    52Modifier ‑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…
    53Modifier 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…
    22Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
    78CPT 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…
    80CPT® 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…
    62Modifier 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…

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    363A00000X
    207Q00000X
    261QP2300X
    174400000X
    208000000X
    3416A0800X
    207RA0201X
    207RA0401X

    Related ICD-10-CM Codes

    26 rows

    ICD-10-CM CodeDescription
    E10.21Type 1 diabetes mellitus with diabetic nephropathy
    E11.21Type 2 diabetes mellitus with diabetic nephropathy
    G04.91Myelitis, unspecified
    G60.9Hereditary and idiopathic neuropathy, unspecified
    G82.20Paraplegia, unspecified
    G83.4Cauda equina syndrome
    I10Essential (primary) hypertension
    N13.9Obstructive and reflux uropathy, unspecified
    N18.5Chronic kidney disease, stage 5
    N18.9Chronic kidney disease, unspecified

    Showing 1–10 of 26

    Related Payer Policy Updates

    Specialty: Endocrinology1 / 3

    10 rows

    PolicyPayerEffective Date
    Diabetic SuppliesCigna2026-10-15
    Radiofrequency Ablation for Thyroid NodulesCigna2026-10-15
    Continuous Glucose Monitoring and Insulin Delivery for Managing Diabetes (for Idaho Only)UnitedHealthcare2026-10-01
    Tzield (teplizumab-mzwv) CoverageUnitedHealthcare2026-10-01
    Continuous Glucose Monitoring and Insulin Delivery for Managing Diabetes (for Indiana Only)UnitedHealthcare2026-10-01
    Medical Necessity Guidelines Insulin PumpsMass General Brigham Health Plan2026-10-01
    Medical Necessity Guidelines: Continuous Glucose MonitorsMass General Brigham Health Plan2026-10-01
    Continuous Glucose MonitoringAmbetter Nevada2026-10-01
    Salivary Hormone TestingOscar Health2026-10-01
    Parathyroid Hormone, Phosphorus, Calcium, and Magnesium TestingOscar Health2026-10-01

    Related Codes

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

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

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

    HCPCS Level II A4207: Syringe with Needle, Sterile 2 cc

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

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

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

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

    HCPCS-A4210-NEEDLE-FREE-INJECTION-DEVICE

    HCPCS Level II A4210: Needle-free Injection Device, Each

    HCPCS-A4211-SUPPLIES-SELF-ADMINISTERED-INJECTIONS

    HCPCS Level II 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/without Catheter

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

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

    HCPCS-A4215-STERILE-NEEDLE-SINGLE-EACH

    HCPCS Level II A4215: Needle, Sterile, Any Size

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

    HCPCS Level II A4216: Sterile Diluent/Flush, 10 ml

    Showing 1–10 of 633

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    Frequently Asked Questions

    References

    1. 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. 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. 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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