A4335 — Incontinence supply; miscellaneous
A4335 is a HCPCS Level II code for incontinence supply; miscellaneous. It belongs to the Transportation, Medical & Surgical Supplies, Administrative section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusP
Bundled or excluded. No RVUs and no payment: either bundled into another service or paid under a different provision of the Act.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
Medically Unlikely Edits — units per day
The most units of A4335 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- outpatient
- 1 unit MAI 3 — Date of Service Edit: Clinical · Clinical: Data
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for A4335
- Long descriptor
- Incontinence supply; miscellaneous
- Short descriptor
- Incontinence supply
- Added
- January 1, 1990
- BETOS
- D1F
- Pricing indicator
- 46 — DMEPOS
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Carrier priced — not otherwise classified, individual determination, carrier discretion, or gap-filled amounts.
Codes adjacent to A4335
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If A4335 is not quite right, the correct code is very often within a few positions of it.
- A4326Male external catheter with integral collection chamber, any type, each
- A4327Female external urinary collection device; meatal cup, each
- A4328Female external urinary collection device; pouch, each
- A4330Perianal fecal collection pouch with adhesive, each
- A4331Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each
- A4332Lubricant, individual sterile packet, each
- A4333Urinary catheter anchoring device, adhesive skin attachment, each
- A4334Urinary catheter anchoring device, leg strap, each
- A4336Incontinence supply, urethral insert, any type, each
- A4337Incontinence supply, rectal insert, any type, each
- A4338Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each
- A4340Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each
- A4341Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each
- A4342Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each
- A4344Indwelling catheter, foley type, two-way, all silicone or polyurethane, each
- A4346Indwelling catheter; foley type, three way for continuous irrigation, each
Questions about A4335
What is HCPCS code A4335?
A4335 is a HCPCS Level II code for incontinence supply; miscellaneous. It sits in the Transportation, Medical & Surgical Supplies, Administrative section.
Does Medicare cover A4335?
The CMS HCPCS file marks A4335 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
How is A4335 paid under the physician fee schedule?
A4335 carries PFS status code P. Bundled or excluded. No RVUs and no payment: either bundled into another service or paid under a different provision of the Act.