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See a sample rate comparisonHCPCS A5105 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 suspensory with leg bag, with or without tube, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Incontinence Devices and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A5105 |
National average reimbursement for HCPCS A5105 by major payers:
$47.00
$29.69
$37.73
$70.21
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HCPCS A5105
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$88.57Published ratePiedmont Newton Ekg Billing LLC
Piedmont Newton Hospital Inc
$64.30Published rateCarson Medical Group Professional Corporation
Carson Medical Group
$34.65Published rateElbert Memorial Hospital
$26.48Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$18.19Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A5105 vs. Other Incontinence Devices and Supplies Codes
The HCPCS A5105 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 A5105 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 |
|---|---|---|
| A5102-HCPCS | Low | Bedside drainage bottle with or without tubing, rigid or expandable, each |
| A5105-HCPCS | Low | Urinary suspensory with leg bag, with or without tube, each |
| A5112-HCPCS | Low | Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A5105. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A5105 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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