Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)
Medicare coverage: Special coverage instructions apply
Status: active (October 2026 file)
Medically Unlikely Edits (effective October 1, 2026)
Practitioner: max 0 units per day (clinical), rationale: CMS Policy
Outpatient hospital: max 2 units per day (clinical), rationale: Clinical: Data
DME supplier: max 3 units per day (clinical), rationale: Published Contractor Policy
Medicare pricing for A4314
DMEPOS fee schedule, July 2026 (DME26-C)
no modifier, ostomy, tracheostomy and urological (OS): non-rural $30.63 to $36.03 in the contiguous states; $34.76 to $41.77 in AK, HI, PR and VI; ceiling $36.03, floor $30.63
Physician Fee Schedule (CY 2026, RVU26D)
Status P: bundled or excluded, no separate PFS payment.
From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.