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See a sample rate comparisonHCPCS A4349 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.
Male external catheter, with or without adhesive, disposable, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Incontinence Devices and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A4349 |
National average reimbursement for HCPCS A4349 by major payers:
$2.33
$1.50
$1.88
$3.20
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HCPCS A4349
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$5.15Published rateChu Chen
$2.74Published rateMonroe Hma, LLC, Clearview Regional Medical Center
Monroe Hma LLC
$1.59Published rateJasper Health Services, Inc., Jasper Memorial Hospital
Jasper Health Services Inc
$1.30Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$0.89Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4349 vs. Other Incontinence Devices and Supplies Codes
The HCPCS A4349 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 A4349 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 |
|---|---|---|
| A4346-HCPCS | Low | Indwelling catheter; Foley type, three way for continuous irrigation, each |
| A4349-HCPCS | Low | Male external catheter, with or without adhesive, disposable, each |
| A4351-HCPCS | Low | Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, 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 A4349. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4349 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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