A4318 — Female external urinary collection cup, with or without ring attachment, per day
A4318 is a HCPCS Level II code for female external urinary collection cup, with or without ring attachment, per day. It belongs to the Transportation, Medical & Surgical Supplies, Administrative section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusP
Bundled or excluded. No RVUs and no payment: either bundled into another service or paid under a different provision of the Act.
Global period: XXX
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The CMS record for A4318
- Long descriptor
- Female external urinary collection cup, with or without ring attachment, per day
- Short descriptor
- Fem urinary cup w/wo attch
- Added
- April 1, 2026
- BETOS
- D1F
- Pricing indicator
- 37 — DMEPOS
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Ostomy, tracheostomy and urological supplies. Price subject to floors and ceilings.
Codes adjacent to A4318
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If A4318 is not quite right, the correct code is very often within a few positions of it.
- A4306Disposable drug delivery system, flow rate of less than 50 ml per hour
- A4310Insertion tray without drainage bag and without catheter (accessories only)
- A4311Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)
- A4312Insertion tray without drainage bag with indwelling catheter, foley type, two-way, all silicone
- A4313Insertion tray without drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation
- A4314Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)
- A4315Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone
- A4316Insertion tray with drainage bag with indwelling catheter, foley type, three-way, for continuous irrigation
- A4320Irrigation tray with bulb or piston syringe, any purpose
- A4321Therapeutic agent for urinary catheter irrigation
- A4322Irrigation syringe, bulb or piston, each
- A4326Male external catheter with integral collection chamber, any type, each
- A4327Female external urinary collection device; meatal cup, each
- A4328Female external urinary collection device; pouch, each
- A4330Perianal fecal collection pouch with adhesive, each
- A4331Extension drainage tubing, any type, any length, with connector/adaptor, for use with urinary leg bag or urostomy pouch, each
Questions about A4318
What is HCPCS code A4318?
A4318 is a HCPCS Level II code for female external urinary collection cup, with or without ring attachment, per day. It sits in the Transportation, Medical & Surgical Supplies, Administrative section.
Does Medicare cover A4318?
The CMS HCPCS file marks A4318 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
How is A4318 paid under the physician fee schedule?
A4318 carries PFS status code P. Bundled or excluded. No RVUs and no payment: either bundled into another service or paid under a different provision of the Act.