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See a sample rate comparisonHCPCS A4358 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.
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Incontinence Devices and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A4358 |
National average reimbursement for HCPCS A4358 by major payers:
$7.15
$4.81
$5.52
$10.64
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HCPCS A4358
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$16.94Published rateThe Baxley And Appling County Hospital Authority, Appling Healthcare System
Appling Hospital
$6.48Published rateHospital Authority Of Liberty County, Liberty Regional Medical Center
$4.32Published rateElbert Memorial Hospital
$4.21Published rateApril Leuzinger
Aztec Urgent Care LLC
$3.63Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4358 vs. Other Incontinence Devices and Supplies Codes
The HCPCS A4358 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 A4358 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 |
|---|---|---|
| A4357-HCPCS | Low | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
| A4358-HCPCS | Low | Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
| A4360-HCPCS | Low | Disposable external urethral clamp or compression device, with pad and/or pouch, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4358. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4358 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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