Do you Qualify for a Sterile Kit?

In order to qualify for a sterile intermittent catheter kit (A4353), the patient must require catheterization and have medical documentation of one of the following criteria:

  • Do you reside in a nursing facility?
  • Are you immunosuppressed (cancer chemotherapy, AIDs, chronic oral corticosteroid use, etc.)?
  • Do you have radiologically documented vesico-ureteral reflux while on a program of intermittent catheterization?
  • Are you a spinal cord injured pregnant female with neurogenic bladder?
  • Have you had two distinct, recurrent urinary tract infections within the 12 months prior to the initiation of sterile intermittent catheter kits with documentation of BOTH urine culture with greater than 10,000 colony forming units of a urinary pathogen AND concurrent presence of one or more of the following signs: fever (oral temperature greater than 100.4º F), systemic leukocytosis, change in urinary urgency, frequency or incontinence, Increased muscle spasms, etc?

 

 


Disclaimer: The information in this document is informational only, general in nature, and does not cover all payers’ rules or policies. This information was obtained from third party sources and is subject to change without notice as a result of changes in reimbursement regulations and payer policies. This document represents no promise or guarantee by Bard Medical regarding coverage or payment for products or procedures by the Centers for Medicare and Medicaid Services (CMS) or other payers. Individuals are responsible for reporting the codes that most accurately describe the patient’s medical condition, procedures performed and products used. Reimbursement for a product or procedure can vary depending upon the setting in which the product is used. Providers should check Medicare bulletins, manuals, program memorandum, and Medicare guidelines to ensure compliance with Medicare requirements. Inquiries should be directed to the appropriate other payer for non-Medicare coverage situations. Bard Medical does not guarantee the products or procedures described herein will be reimbursable in whole or in part by any public or private payer, including Medicare. Bard Medical specifically excludes any representation or warranty relating to reimbursement.

Intermittent catheters are intended for draining urine from the bladder. Reuse of a single use device may create a risk of patient or user infection. Please consult product labels and inserts for more detailed safety information and instructions for use.