Prior to 2026, hydrophilic-coated catheters were billed using the standard intermittent catheter HCPCS codes (A4351-A4353), with no separate designation for hydrophilic products. This often led to confusion in documentation, coding, and reimbursement.

Effective January 1, 2026, Medicare established new HCPCS codes specifically for hydrophilic-coated catheters, creating a clear distinction between hydrophilic and non-hydrophilic products and improving coding accuracy and reimbursement clarity.

• A4295 - Intermittent urinary catheter; straight tip, hydrophilic coating, each
• A4296 - Intermittent urinary catheter; coude (curved) tip, hydrophilic coating, each
• A4297 - Intermittent urinary catheter; hydrophilic coating, with insertion supplies
• A4311 - Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)
• A4314 - Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)
• A4338 - Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each

For more information review the Urological Local Coverage Determination (LCD) L33803