New HCPCS Codes for Intermittent Catheters for 2026

The Centers for Medicare & Medicaid Services (CMS) has announced new updated HCPCS (Healthcare Common Procedure Coding System) codes for intermittent catheters effective January 1, 2026. These changes impact how urological supplies are billed – particularly for catheters with hydrophilic coatings.

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Important Hydrophilic HCPCS Changes — Effective January 1, 2026

CMS has introduced new, more specific HCPCS codes for hydrophilic intermittent urinary catheters and updated descriptors for existing catheter codes. Below is a quick reference for both changes.

New HCPCS Codes

CMS has introduced new, more specific codes to distinguish hydrophilic catheters from coated or uncoated options:

A4295 – Intermittent urinary catheter; straight tip, hydrophilic coating
A4296 – Intermittent urinary catheter; coude (curved) tip, hydrophilic coating
A4297 – Intermittent urinary catheter; hydrophilic coating, with insertion supplies

Updated Descriptors for Existing Catheter Codes

To align with the new hydrophilic codes, CMS updated the descriptors for existing intermittent catheter codes to include “with or without coating”.

A4351 – Intermittent urinary catheter, straight tip, with or without coating
A4352 – Intermittent urinary catheter, coude (curved) tip, with or without coating
A4353 – Intermittent urinary catheter, with or without coating, with insertion supplies