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Thread: Foley Catheter

  1. #1

    Default Foley Catheter

    AAPC: Back to School
    Can you bill for a Foley Catheter? And if you can what is the HCPCS code for it?

  2. #2
    Join Date
    Apr 2007
    San Antonio, Texas


    Are you referring to the insertion of a temporary foley catheter or the foley catheter (DME)?
    Diana Wilson, CPC. CPMA, CPC-I
    PMCC Instructor

  3. #3


    The foley catheter

  4. #4


    I will wager an opinion here. Since you inserted the catheter, then yes can code for it. It is DME given to the patient. I would report HCPCS codes from the A43 category (A4316-A4355). Also, if tape was used, check out HCPCS codes from the A44 range. There is also a modifer you use. It is modifier AU to indicate this was an ostomy supply. Modifier KX may also be required by the payer.

    I would also recommend checking with the payer here for their specific critiera for coverage of this DME.

    Hope this helps and again this is my opinion.
    Last edited by dballard2004; 01-31-2011 at 07:27 AM.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P
    Compliance Auditor

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