[Acemed]

I have just received my first order for monthly supply of condom catheters and considering taking up the offer but I have no idea what is involved. Could anyone let me know the Diagnoses, hcpcs codes and accessories involved and the Medicare allowed monthly quantities?

[DeeDee]

Here is a link to the LCD for Region B regarding Urological Supplies. I hope this helps.

http://www.ngsmedicare.com/content.a...=3&DOCID=21680

[HEATHER]

I'll post here too just for everyone's info...Glad you are back Etin

Male external catheters (condom-type) are covered for patients who have
permanent urinary incontinence when used as an alternative to an indwelling
catheter. The utilization of male external catheters (A4349) generally
should not exceed 35 per month. Greater utilization of these devices must be
accompanied by documentation of medical necessity. Male external catheters
(condom-type) will be denied as not medically necessary when ordered for
patients who also use an indwelling catheter. Must use KX modifier.
Adhesive strips or tape used with code A4349 (Male external catheter, with
or without adhesive, disposable, each) should not be billed separately.
http://www.cms.gov/mcd/viewlcd.asp?l...on=40&show=all

[Acemed]

Thank you for your postings. They were very helpful.
Etin