This section covers a wide variety of medical and surgical supplies, as well as some DME-related supplies and accessories. Medicare generally covers DME-related supplies, accessories, maintenance, and repair under the prosthetic devices provision.


  • A4297

    Intermittent urinary catheter; hydrophilic coating, with insertion supplies
  • A4300

    Implantable access catheter, (e.g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access
  • A4301

    Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.)
  • A4305

    Disposable drug delivery system, flow rate of 50 ml or greater per hour
  • A4306

    Disposable drug delivery system, flow rate of less than 50 ml per hour
  • A4310

    Insertion tray without drainage bag and without catheter (accessories only)
  • A4311

    Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)
  • A4312

    Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone
  • A4313

    Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation
  • A4314

    Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)


  • Continued
  • A4315

    Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone
  • A4316

    Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation
  • A4318

    Female external urinary collection cup, with or without ring attachment, per day
  • A4320

    Irrigation tray with bulb or piston syringe, any purpose
  • A4321

    Therapeutic agent for urinary catheter irrigation
  • A4322

    Irrigation syringe, bulb or piston, each
  • A4326

    Male external catheter with integral collection chamber, any type, each
  • A4327

    Female external urinary collection device; meatal cup, each
  • A4328

    Female external urinary collection device; pouch, each
  • A4330

    Perianal fecal collection pouch with adhesive, each
  • A4331

    Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each
  • A4332

    Lubricant, individual sterile packet, each
  • A4333

    Urinary catheter anchoring device, adhesive skin attachment, each
  • A4334

    Urinary catheter anchoring device, leg strap, each
  • A4335

    Incontinence supply; miscellaneous
  • A4336

    Incontinence supply, urethral insert, any type, each
  • A4337

    Incontinence supply, rectal insert, any type, each
  • A4338

    Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each
  • A4340

    Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each
  • A4341

    Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each


  • Continued
  • A4342

    Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each
  • A4344

    Indwelling catheter, foley type, two-way, all silicone or polyurethane, each
  • A4346

    Indwelling catheter; foley type, three way for continuous irrigation, each
  • A4349

    Male external catheter, with or without adhesive, disposable, each
  • A4351

    Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each
  • A4352

    Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each
  • A4353

    Intermittent urinary catheter, with insertion supplies
  • A4354

    Insertion tray with drainage bag but without catheter
  • A4355

    Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each
  • A4356

    External urethral clamp or compression device (not to be used for catheter clamp), each
  • A4357

    Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each
  • A4358

    Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each
  • A4360

    Disposable external urethral clamp or compression device, with pad and/or pouch, each
  • A4361

    Ostomy faceplate, each
  • A4362

    Skin barrier; solid, 4 x 4 or equivalent; each
  • A4363

    Ostomy clamp, any type, replacement only, each
  • A4364

    Adhesive, liquid or equal, any type, per oz
  • A4366

    Ostomy vent, any type, each
  • A4367

    Ostomy belt, each
  • A4368

    Ostomy filter, any type, each