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See a sample rate comparisonHCPCS A4322 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Irrigation syringe, bulb or piston, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Incontinence Devices and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A4322 |
National average reimbursement for HCPCS A4322 by major payers:
$3.38
$2.24
$2.74
$5.10
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HCPCS A4322
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$7.78Published ratePiedmont Newton Hospital, Inc., Newton Medical Center
Piedmont Newton Hospital Inc
$4.67Published rateMeriwether County Hospital Authority, Warm Springs Medical Center
Meriwether Healthcare, LLC D/B/A Warm Springs Medical Center
$2.06Published rateHospital Authority Of Jenkins County
Hospital Authority Of Jenkins County Dba Jenkins County Medical Center
$1.91Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$1.36Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4322 vs. Other Incontinence Devices and Supplies Codes
The HCPCS A4322 code is part of the Medical And Surgical Supplies services used for Incontinence Devices and Supplies. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS A4322 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| A4321-HCPCS | Low | Therapeutic agent for urinary catheter irrigation |
| A4322-HCPCS | Low | Irrigation syringe, bulb or piston, each |
| A4326-HCPCS | Low | Male external catheter with integral collection chamber, any type, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4322. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4322 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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