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See a sample rate comparisonHCPCS A4338 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.
Indwelling catheter; Foley type, 2-way latex with coating (Teflon, silicone, silicone elastomer, or hydrophilic, etc.), each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Incontinence Devices and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A4338 |
National average reimbursement for HCPCS A4338 by major payers:
$13.74
$8.82
$10.47
$20.04
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HCPCS A4338
5 of 25 sample ratesHigher to lower in this preview
Emory Healthcare
Emory University
$20.90Published rateChristopher Chambers
Cooperative Healthcare Services Inc
$10.42Published rateWillamette Community Health Solutions, Cascade Health Solutions
$7.26Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$6.76Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$5.46Published rate
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See a sample payer proposalHCPCS A4338 vs. Other Incontinence Devices and Supplies Codes
The HCPCS A4338 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 A4338 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 |
|---|---|---|
| A4337-HCPCS | Low | Incontinence supply, rectal insert, any type, each |
| A4338-HCPCS | Low | Indwelling catheter; Foley type, 2-way latex with coating (Teflon, silicone, silicone elastomer, or hydrophilic, etc.), each |
| A4340-HCPCS | Low | Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4338. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4338 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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