HCPCS code A4295 — Straigh tip hydrophilic cath. Status: Active. Effective Jan 1, 2026. Source: CMS HCPCS Level II.

A4295

Active

Straigh tip hydrophilic cath

Intermittent urinary catheter; straight tip, hydrophilic coating, each

Category: Transportation & Supplies
Section: A-codes: Transportation, Medical & Surgical Supplies
Effective: Jan 1, 2026
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of A4295 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
DME Supplier 600
Outpatient Hospital 2
Practitioner Services 0

Source: CMS Medicare NCCI Medically Unlikely Edits

Change History

Quarterly changes published by CMS. Revisions may affect the code description, coverage, or rate — review each quarter's changes before submitting claims.

  • New Code 2026-Q1
    Straigh tip hydrophilic cath