A4326 Male external catheter
Also known as: condom catheter, external catheter, sheath catheter
Male external catheter, a condom-type device placed over the penis for non-invasive urinary drainage in incontinent male patients.
In Plain Language
external drainage sheath; penis-covering catheter
Clinical Context
Used in male patients with urge or overflow incontinence who cannot wear absorbent products. Non-invasive alternative to indwelling catheters.
RVU Information
CPT A4326 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
HCPCS A-codes cover medical supplies, equipment, and transport services. Documentation must establish medical necessity and include a physician order. For durable medical equipment (DME), a Certificate of Medical Necessity (CMN) or detailed written order may be required.
Specialties
Frequently Asked Questions
What is CPT code A4326?
CPT A4326 (Male external catheter) is a A Codes code. Male external catheter, a condom-type device placed over the penis for non-invasive urinary drainage in incontinent male patients.
Does Medicare cover A4326?
Medicare coverage for A4326 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used in male patients with urge or overflow incontinence who cannot wear absorbent products. Non-invasive alternative to indwelling catheters. A physician order is typically required.
When is CPT A4326 used?
Used in male patients with urge or overflow incontinence who cannot wear absorbent products. Non-invasive alternative to indwelling catheters.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.