`A4346` Cath indw foley 3 way

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

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 A4346

DMEPOS fee schedule, July 2026 (DME26-C)

no modifier, ostomy, tracheostomy and urological (OS): non-rural $23.72 to $27.91 in the contiguous states; $24.64 to $29.23 in AK, HI, PR and VI; ceiling $27.91, floor $23.72

Physician Fee Schedule (CY 2026, RVU26D)

Status P: bundled or excluded, no separate PFS payment.

Payer policies and prior authorization for A4346

Payer coverage policies that name A4346

A4346 appears in 1 coverage policy from Aetna.

Payer	Policy	Role in policy	Reviewed	Document
Aetna	Urological Supplies (0533)	covered if criteria are met	Jul 30, 2026	payer document

Medicaid fee-for-service

Prior authorization required or conditional in KY, MA, OH, VA, WV.

AZ: $32.75 (dme), effective Oct 1, 2026
FL: $9.37 (dme), effective Jul 1, 2026
IN: $13.18 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2014
KS: $22.33 (default), effective Jul 1, 2026
KY: $18.69 (dme), effective Jan 1, 2026
MA: $22.71 (dme_rates), effective Mar 1, 2026
MD: $23.48 (dme), effective Apr 1, 2026
MS: $15.62 (comprehensive), effective Jul 1, 2018
ND: $33.60 (dme), effective Aug 1, 2026
NE: $24.42 (dme), effective Jul 1, 2026
NY: $11.03 (dme), effective Jul 1, 2026
OH: $12.50 (dme), effective May 1, 1990
OK: $27.91 (dme), effective Jan 1, 2026
TX: $13.27 (dmepos_tos_9_e_j_l_and_r, Home Health Dme, non-facility), effective Jul 1, 1997
VA: $25.12 (dme), effective Dec 1, 2026
VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
WA: $17.83 (medical_equipment_supplies), effective Jul 1, 2026
WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

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.

A4346 Cath indw foley 3 way