A4297 HCPCS Level II code: Intermittent urinary catheter; hydrophilic coating, with insertion supplies

A4297 is the HCPCS code for “Intermittent urinary catheter; hydrophilic coating, with insertion supplies” in CMS’s October 2026 release, in effect from Oct 1, 2026.

Official description

A4297

Intermittent urinary catheter; hydrophilic coating, with insertion supplies

Short description: Hydrophilic coat insert sup

HCPCS · United States

Medicare details

The indicators CMS publishes with A4297 in its October 2026 file. They describe Medicare’s handling, not another payer’s.

Medicare coverage
Special coverage instructions apply
Medicare pricing
DMEPOS fee schedule – Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)
Type of service
Lump sum purchase of DME, prosthetics, orthotics
BETOS category
Prosthetic/Orthotic devices
Added
Jan 1, 2026

Where A4297 sits

  1. 1A codesAmbulance, supplies and miscellaneous
  2. 2Active code A4297Intermittent urinary catheter; hydrophilic coating, with insertion supplies

Source and release

Data release
HCPCS Level II · October 2026
Effective date
Oct 1, 2026
Publisher
CMS

This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.

Frequently asked questions

What does HCPCS code A4297 mean?

A4297 is the HCPCS code for “Intermittent urinary catheter; hydrophilic coating, with insertion supplies” in CMS’s HCPCS Level II October 2026 release.

Does Medicare cover A4297?

CMS lists A4297’s Medicare coverage as “Special coverage instructions apply” and its pricing as “DMEPOS fee schedule – Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.

Which HCPCS Level II release does this page use?

It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.