A5200 Adhesive Catheter Anchor HCPCS Reimbursement | OpenPayer

Summary & Overview

HCPCS Level II A5200: Percutaneous Catheter Adhesive Anchoring Device

HCPCS Level II code A5200 identifies a percutaneous catheter/tube anchoring device with an adhesive skin attachment used to secure catheters and tubing. Nationally, this code matters because securement devices are an important component of vascular access and enteral device management, influencing device dwell time, complication risk, and supply utilization across inpatient, outpatient, and home health settings. The publication covers coverage practices and contracting considerations among major national payers including Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.

Readers will find a concise reference of what the code represents, typical sites of service and clinical context for use, common modifiers included in billing workflows, and where to look for related device and supply codes. The report also summarizes national payer policies and benchmarks where available, highlights policy updates relevant to supply coding and coverage, and provides practical coding context for billing and claims submission. Data not available in the input is noted where applicable.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicareA5200HCPCS Level IIcatheter securementmedical device supplyoutpatient supplyhome health supplies

Billing Code Overview

HCPCS Level II code A5200 describes a percutaneous catheter/tube anchoring device, adhesive skin attachment. This code represents a device used to secure catheters or tubes to the skin surface using an adhesive attachment to reduce device movement and help prevent accidental dislodgement.

Service Type: Device supply for catheter/tube anchoring

Typical Site of Service: Outpatient clinics, hospital inpatient units, home health settings, and other ambulatory sites where percutaneous catheters or tubes are placed or maintained

Data not available in the input.

Clinical & Coding Specifications

Clinical Context

A patient with a tunneled percutaneous central venous catheter (e.g., for long-term infusion therapy, parenteral nutrition, or chemotherapy) presents for routine securement or replacement of the external catheter/tubing anchor. The clinical workflow begins with verification of the existing catheter type and indication, assessment of skin integrity at the exit site, and review of anticoagulation status and infection risk. The clinician selects an adhesive skin attachment device designed to anchor the catheter externally, prepares the skin with antiseptic, allows drying, and applies the adhesive anchoring device to secure the catheter or tubing per manufacturer instructions. Post-application documentation includes device model or catalog number, site condition, patient tolerance, and any counseling provided about care and device inspection. Typical site of service is an outpatient clinic, infusion center, or hospital bedside when percutaneous catheter securement is required.

Coding Specifications

For billing the percutaneous catheter/tube anchoring device, use A5200 to report the adhesive skin attachment device.

Modifier	Description	When to Use
`00`	No modifier — standard billing	Use when no special circumstances apply.

HCPCS A6253: Specialty Absorptive Wound Dressing, >48 sq in

HCPCS-A7508-TRACHEOSTOMA-HOUSING-INTEGRATED-ADHESIVE

HCPCS A7508: Tracheostoma Housing with Integrated Adhesive

HCPCS-LEVEL-II-A4740-SHUNT-ACCESSORY-HEMODIALYSIS

HCPCS Level II A4740: Shunt Accessory for Hemodialysis, Each

HCPCS-A4714-TREATED-WATER-PERITONEAL-DIALYSIS-PER-GALLON

HCPCS A4714: Treated Water for Peritoneal Dialysis, Per Gallon

HCPCS-A6222-IMPREGNATED-STERILE-GAUZE-PAD-16SQIN-OR-LESS

HCPCS A6222: Sterile Impregnated Gauze Pad, ≤16 sq in, No Adhesive

HCPCS-A6582-GRADIENT-COMPRESSION-GAUNTLET

HCPCS A6582: Gradient Compression Gauntlet, Each

HCPCS-A6446-CONFORMING-BANDAGE-NON-ELASTIC-3-5-INCH-PER-YARD

HCPCS A6446: Conforming Sterile Non-Elastic Bandage 3–5 in per Yard

HCPCS-A4562-REUSABLE-NON-RUBBER-PESSARY

HCPCS A4562: Reusable Non-Rubber Pessary

HCPCS-A4594-NEUROMODULATION-MOUTHPIECE-ADJUNCT-REHAB

HCPCS A4594: Neuromodulation Stimulator Mouthpiece, Adjunct to Rehab Therapy

HCPCS-A6530-BELOW-KNEE-COMPRESSION-STOCKING-18-30-MMHG

HCPCS A6530: Below-Knee Gradient Compression Stocking, 18-30 mmHg

Showing 1–10 of 633

Taxonomy Code	Specialty	Notes
`174400000X`	Interventional Radiology	Interventional radiologists often place and secure tunneled central venous catheters and select anchoring devices.
`367A00000X`	General Surgery	Surgeons place and manage long-term catheters in operative settings and may apply external anchors.
`207R00000X`	Emergency Medicine	Emergency clinicians may secure external catheters in acute settings after placement or displacement.
`363L00000X`	Nursing — Clinical Nurse Specialist	Advanced practice nurses and infusion specialists commonly apply and manage adhesive anchoring devices in outpatient infusion centers.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`Z45.2`	Encounter for adjustment and management of vascular access device	Applies when the visit concerns securing, adjusting, or managing an external catheter anchoring device.
`T83.09XA`	Other mechanical complication of other prosthetic device, initial encounter	Relevant when catheter securement is required due to mechanical issues with the device or dislodgement.
`T82.7XXA`	Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, initial encounter	Used when infection at the catheter site necessitates removal, replacement, or re-securement with an adhesive anchor.
`Z98.890`	Other specified postprocedural states	Applicable for patients with prior catheter placement status requiring ongoing securement.
`Z43.2`	Encounter for attention to other vascular devices, implants and grafts	Used for routine care, maintenance, or inspection of vascular access devices where anchoring devices are applied.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`36415`	Collection of venous blood by venipuncture	May be performed during patient assessment for access patency or laboratory monitoring associated with infusion therapy when planning catheter securement.
`36556`	Insertion of tunneled centrally inserted central venous catheter, with subcutaneous port or pump, age >5 years	The anchoring device `A5200` is commonly used externally after placement of tunneled central venous catheters coded with `36556`.
`36561`	Replacement, complete, of tunneled central venous catheter, without subcutaneous port	Anchoring devices are applied when replacing or revising tunneled catheters and would be billed as supply `A5200`.
`36593`	Insertion of tunneled central venous catheter using ultrasound guidance	Securement with an adhesive anchoring device often follows placement procedures that include ultrasound guidance.
`99213`	Office or other outpatient visit for the evaluation and management of an established patient	Used for the clinical visit during which the catheter is inspected and adhesive anchoring device `A5200` is applied or replaced.

OpenPayer