Did you know Medicare will cover costs associated with your monthly medical supplies! If you are covered by Medicare we will handle your insurance verification and ensure you receive the reimbursement you need and deserve. Catheter Pro’s will then bill and coordinate the supplemental billing for your secondary coverage if applicable. Your supplies may be completely covered after your annual deductibles and co-pays have been met. Our Catheter Pro’s Customer Care Representatives will be able to coordinate all the necessary documentation from your physician to ensure that you meet the Medicare current guidelines. Let Catheter Pro’s gather the necessary information from your physician, including doctor’s notes containing documentation of the Permanent nature of the condition, Diagnosis, and Frequency. Contact us to help you understand your Medicare coverage and billing guidelines.

Intermittent Urinary Catheterization Click here to download pdf document

Documentation Checklist Click here to download pdf document

The table below lists the maximum number of items/units of service that are medical necessary. The actual quantity needed for a particular patient may be more or less than the amount listed. The medical necessity for use of a greater quantity of supplies than the amounts listed must be clearly documented in the patients medical record.

Note: Intermittent catheterization using a sterile intermittent catheter kit (A4353) is covered when the patient requires catheterization and the patient meets one of the following criteria (1-5):

1. The patient resides in a nursing facility
2. The patient is immunosuppressed, for example (not all-inclusive): on a egimen of immunossuppressive drugs post-transplant, on cancer chemotherapy, has AIDS, has a drug-induced state such as chronic oral corticosteriod use
3. The patient has radiologically documented vesicourethral reflux while on a program of intermittent catheterization
4. The patient is a spinal cord injured female with neurogenic bladder who is pregnant (for duration of pregnancy only)
5. The patient has had distinct, recurrent urinary tract infections, while on a program of sterile intermittent catheterization with A4351/A4352 and sterile lubricant A4332, twice within the 12-months prior to the initiation of sterile intermittent catheter kits.