Question 1

What is HCPCS code A4311?

Accepted Answer

HCPCS code A4311 is "Catheter w/o bag 2-way latex". Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)

Question 2

What category is A4311 in?

Accepted Answer

A4311 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A4311?

Accepted Answer

Use A4311 when billing for catheter w/o bag 2-way latex. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is A4311 covered by Medicare?

Accepted Answer

Coverage for A4311 (Catheter w/o bag 2-way latex) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for A4311?

Accepted Answer

Documentation for A4311 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).