RETIRED - Correct Coding - SpeediCath Flex Coudé Catheter (Coloplast)

IMPORTANT: THIS DOCUMENT CONTAINS OUTDATED INFORMATION.

Content Provided on this page contains outdated information and instruction and should not be considered current.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 This archived article contains previously issued instructions that have since been updated or are no longer applicable for Medicare billing purposes.

DME MAC Joint Publication

Posted August 24, 2017

Intermittent urinary catheters are eligible for Medicare payment when the requirements described in the Urological Supplies Local Coverage Determination (LCD L33803) and related Policy Article (A52521) are met.  Intermittent catheters are classified as "straight" or "coudé" catheters.  Straight catheters are flexible and able to bend or adjust to the path of a urethra as it is used.  In some clinical scenarios, the urethra is tortuous, constricted or twisted to a degree that makes it difficult to pass a typical straight catheter.  In these situations, a coudé catheter is often used.  A coudé catheter has a fixed, curved tip that allows it to more easily be moved through a tortuous urethra.

Recently, Coloplast introduced the SpeediCath® Flex Coudé Catheter.  Although the term "coudé" is part of the product name, this item is a straight catheter without the characteristic permanent, curved tip that distinguishes a coudé catheter.  The SpeediCath® Flex Coudé Catheter has a tip that is thinner and more flexible than the typical straight catheter.  Despite the use of the term "coudé" as part of the product name, the SpeediCath® Flex Coudé Catheter is classified as a straight catheter.  For Medicare billing purposes, the correct HCPCS code for this product is:

  • A4351 - INTERMITTENT URINARY CATHETER; STRAIGHT TIP, WITH OR WITHOUT COATING (TEFLON, SILICONE, SILICONE ELASTOMER, OR HYDROPHILIC, ETC.), EACH.

Claims for this item must not be submitted using HCPCS code A4352 [INTERMITTENT URINARY CATHETER; COUDÉ (CURVED) TIP, WITH OR WITHOUT COATING (TEFLON, SILICONE, SILICONE ELASTOMERIC, OR HYDROPHILIC, ETC.), EACH].  Billing Medicare for this item using A4352 or other HCPCS codes is incorrect coding.

Refer to the Urological Supplies LCD, related Policy Article, and Standard Documentation article for additional information regarding coverage, coding, and documentation.

Suppliers are reminded to access the PDACs Durable Medical Equipment Coding System (DMECS) for any questions regarding the correct coding of products or call the PDAC Contact Center at 877-735-1326 between the hours of 8:30 a.m. and 4:00 p.m. CT.

Publication History

Date of Change Description
05/21/26 Retired due to information no longer current. The product described in this article is not in commercial distribution. Additionally, the long descriptions of the HCPCS codes in this article have since changed.
08/24/17 Originally Published
Last Updated May 21 , 2026