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See a sample rate comparisonHCPCS A4340 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; specialty type, (e.g., coude, mushroom, wing, 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 A4340 |
National average reimbursement for HCPCS A4340 by major payers:
$33.74
$22.75
$27.46
$44.70
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HCPCS A4340
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$81.16Published rateChristopher Raio
St Joseph Hospital
$35.35Published rateDodge County Hospital Authority, Dodge County Hospital
Dodge County Hospital Authority
$18.88Published ratePiedmont Newton Ekg Billing LLC
Piedmont Newton Hospital Inc
$17.47Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$12.60Published rate
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See a sample payer proposalHCPCS A4340 vs. Other Incontinence Devices and Supplies Codes
The HCPCS A4340 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 A4340 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 |
|---|---|---|
| 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 |
| A4341-HCPCS | Moderate | Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4340. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4340 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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