A4354: Insertion tray with drainage bag but without catheter
A4354 is a HCPCS Level II code for insertion tray with drainage bag but without catheter. 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 2026Q4-Oct. 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 A4354 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
- 2 units MAI 3: Date of Service Edit: Clinical · Clinical: Data
- DME supplier
- 3 units MAI 3: Date of Service Edit: Clinical · Published Contractor Policy
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 2026Q4.
The CMS record for A4354
- Long descriptor
- Insertion tray with drainage bag but without catheter
- Short descriptor
- Cath insertion tray w/bag
- Added
- January 1, 1986
- BETOS
- D1F
- Pricing indicator
- 37: 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.
Ostomy, tracheostomy and urological supplies. Price subject to floors and ceilings.
Codes adjacent to A4354
HCPCS has no hierarchy: related items simply sit next to each other in the numbering. If A4354 is not quite right, the correct code is very often within a few positions of it.
- 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
- A4349Male external catheter, with or without adhesive, disposable, each
- A4351Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each
- A4352Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each
- A4353Intermittent urinary catheter, with insertion supplies
- A4355Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each
- A4356External urethral clamp or compression device (not to be used for catheter clamp), each
- A4357Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each
- A4358Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each
- A4360Disposable external urethral clamp or compression device, with pad and/or pouch, each
- A4361Ostomy faceplate, each
- A4362Skin barrier; solid, 4 x 4 or equivalent; each
- A4363Ostomy clamp, any type, replacement only, each