A4333 — Urinary catheter anchoring device, adhesive skin attachment, each
A4333 is a HCPCS Level II code for urinary catheter anchoring device, adhesive skin attachment, each. It belongs to the Transportation, Medical & Surgical Supplies, Administrative section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
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 statusX
Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
Medically Unlikely Edits — units per day
The most units of A4333 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 1 unit MAI 3 — Date of Service Edit: Clinical · Clinical: CMS Workgroup
- outpatient
- 12 units MAI 3 — Date of Service Edit: Clinical · Clinical: Data
- DME supplier
- 36 units MAI 3 — Date of Service Edit: Clinical · Published Contractor Policy
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for A4333
- Long descriptor
- Urinary catheter anchoring device, adhesive skin attachment, each
- Short descriptor
- Urinary cath anchor device
- Added
- January 1, 2001
- 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 A4333
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If A4333 is not quite right, the correct code is very often within a few positions of it.
- 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
- A4332Lubricant, individual sterile packet, each
- A4334Urinary catheter anchoring device, leg strap, each
- A4335Incontinence supply; miscellaneous
- A4336Incontinence supply, urethral insert, any type, each
- A4337Incontinence supply, rectal insert, any type, each
- A4338Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each
- A4340Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each
- A4341Indwelling intraurethral drainage device with valve, patient inserted, replacement only, each
- A4342Accessories for patient inserted indwelling intraurethral drainage device with valve, replacement only, each
Questions about A4333
What is HCPCS code A4333?
A4333 is a HCPCS Level II code for urinary catheter anchoring device, adhesive skin attachment, each. It sits in the Transportation, Medical & Surgical Supplies, Administrative section.
Does Medicare cover A4333?
The CMS HCPCS file marks A4333 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
How is A4333 paid under the physician fee schedule?
A4333 carries PFS status code X. Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.