Understanding Medicare Codes

1 Intermittent catheterization is a covered Medicare benefit when basic coverage criteria are met and the individual or caregiver can perform the procedure. Bard Medical provides this information to help answer questions about coding and reimbursement for intermittent catheters. First, let’s start with a few definitions:

  • A4351 represents a straight tip intermittent urinary catheter, with or without coating (Teflon, silicone, silicone elastomer, hydrophilic, etc.).
  • A4352 represents a coude (or curved) tip intermittent urinary catheter, with or without coating (Teflon, silicone, silicone elastomer, hydrophilic, etc.).
  • A4353 represents an intermittent urinary catheter with insertion supplies. Commonly referred to as a 'kit'.
  • A4332 represents a single sterile packet of lubricant.

Medicare allows one catheter each time you catheterize, up to 200 catheters per month.

Medicare allows one packet of sterile lubricant per uncoated catheter.


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. 

1   https://www.cms.gov/medicare-coverage-database/details/lcd-details.aspx?LCDId=33803&ContrID=140  BMD/INCA/1116/0108