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See a sample rate comparisonHCPCS A5113 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.
Leg strap; latex, replacement only, per set
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Incontinence Devices and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A5113 |
National average reimbursement for HCPCS A5113 by major payers:
$5.23
$3.41
$4.28
$7.88
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HCPCS A5113
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$11.42Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Emory University
$9.43Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$5.07Published rateThe Hospital Authority Of Miller County, Miller County Hospital - Pro Fees
The Hospital Authority Of Miller County
$3.05Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$2.09Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A5113 vs. Other Incontinence Devices and Supplies Codes
The HCPCS A5113 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 A5113 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 |
|---|---|---|
| A5112-HCPCS | Low | Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each |
| A5113-HCPCS | Low | Leg strap; latex, replacement only, per set |
| A5114-HCPCS | Low | Leg strap; foam or fabric, replacement only, per set |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A5113. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A5113 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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