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Correct Coding – inFlow™ Intraurethral Valve-Pump (Vesiflo, Inc.)

DME MAC Joint Publication

Published 2/18/2016

The inFlow™ Intraurethral Valve-Pump is a urinary device for women with incomplete bladder emptying due to IDC. The inFlowTM is promoted as an alternative to urinary catheters. The device consists of a small catheter with an internal, magnetically-activated pump-valve mechanism. The inFlow™ is placed in the female urethra for up to 30 days. Upon activation by a battery-powered wand held low over the pubic area, the valve opens and the pump induces urine flow.

Effective 1/1/2016, the inFlow™ Intraurethral Valve-Pump was assigned HCPCS code A4335 (Incontinence supply, miscellaneous). This HCPCS code must be used on claims for initial issue of inFlow TM, and is all-inclusive (catheter, wand and batteries). In addition, claims for replacement catheters, batteries or wands must also use HCPCS code A4335.

Claims must include the manufacturer and product name in the narrative field of the electronic claim.

Refer to the urological supplies local coverage determination and related policy article for additional information on coverage, coding and documentation.

For questions about correct coding, contact the PDAC contractor Contact Center at 877-735-1326 during the hours of 8:30 a.m. to 4:00 p.m. CT, Monday through Friday, or email the PDAC by completing the DME PDAC Contact Form.

Correct Coding - inFlow™ Intraurethral Valve-Pump (Vesiflo, Inc.)
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