RETIRED - Correct Coding - inFlow Intraurethral Valve-Pump (Vesiflo, Inc.)

IMPORTANT: THIS DOCUMENT CONTAINS OUTDATED INFORMATION.Content Provided on this page contains outdated information and instruction and should not be considered current. Noridian is providing this archived information for research purposes only. This archived article contains previously issued instructions that have since been updated or are no longer applicable for Medicare billing purposes.

Article retired due to content incorporation into the applicable Local Coverage Determination or related Policy Article.

DME MAC Joint Publication

The inFlow™ Intraurethral Valve-Pump is a urinary device for women with incomplete bladder emptying due to impaired detrusor contractility (IDC). The inFlowTM is promoted as an alternative to urinary catheters. The device consists of a small catheter with an internal, magnetically-activated pump-valve mechanism. The inFlow™ is placed in the female urethra for up to 30 days. Upon activation by a battery-powered wand held low over the pubic area, the valve opens and the pump induces urine flow.

Effective January 1, 2016, the inFlow™ Intraurethral Valve-Pump was assigned HCPCS code A4335 (INCONTINENCE SUPPLY, MISCELLANEOUS). This HCPCS code must be used on claims for initial issue of inFlow TM, and is all-inclusive (catheter, wand, and batteries). In addition, claims for replacement catheters, batteries, or wands must also use HCPCS code A4335.

Claims must include the manufacturer and product name in the narrative field of the electronic claim.

Refer to the Urological Supplies Local Coverage Determination and related Policy Article for additional information on coverage, coding and documentation.

For questions about correct coding, contact the Pricing, Data Analysis and Coding (PDAC) contractor Contact Center at (877) 735-1326 during the hours of 8:30 a.m. to 4 p.m. CT, Monday through Friday, or e-mail the PDAC by completing the DME PDAC Contact Form.

 

Last Updated Thu, 13 Aug 2020 15:25:21 +0000