Table of content for "Bladder irrigation tubing" (HCPCS A4355)
General information on the “A4355” code
HCPCS Code: A4355
Long Description: Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each
Short Description: Bladder irrigation tubing
Original information is taken from A4355 page
Pricing indicators
Pricing Indicator Code 1: 37 – Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings). Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: D – Special coverage instructions apply
Type of service
Berenson-Eggers Type of Service (BETOS): D1F – Prosthetic/Orthotic devices
Type Of Service 1: P – Lump sum purchase of DME, prosthetics, orthotics
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 19840101
Code Effective Date: 19960101
Action Code: N – No maintenance for this code