Frequently Asked Questions

Until now, all intermittent catheters—whether hydrophilic or non-hydrophilic—have been grouped under the same billing codes. The Centers for Medicare and Medicaid Services (CMS) now recognize that hydrophilic catheter technology matters and have introduced new billing codes to differentiate hydrophilic catheters from non-hydrophilic catheters.

No. While CMS sets the standard, most private insurance companies and Medicaid programs also follow the same coding guidelines.

Yes, and we recommend starting the process early to avoid any access issues.

Starting in 2026, new billing codes are being introduced for hydrophilic intermittent catheters. These new codes are designed to recognize the value of innovative catheter technology—and that’s good news for you. To continue receiving your current hydrophilic intermittent catheter, your prescription must be updated to include the word “hydrophilic” or the brand name/item number.

Your prescribing clinician will need to update your prescription. Typically, your supplier will work directly with your clinician to update your prescription on your behalf.

Talk to your supplier or prescribing clinician about getting a new prescription. You can use the conversation guide in the brochure when discussing the update with them.

Yes, the update is required for all current users.

They shouldn’t, but you will need to ensure your prescription is worded correctly. If you have issues, contact Coloplast Care at 1.866.226.6362.

HCPCS (Healthcare Common Procedure Coding System) codes are the billing codes used on insurance claims to identify the intermittent catheter that you are currently receiving.

A billing code, specifically referred to in this context as a Healthcare Common Procedure Coding System (HCPCS) code, is a standardized code used in medical billing to identify specific medical devices or procedures, allowing insurers to determine coverage and reimbursement.

Your supplier is the medical products company from whom you currently receive your intermittent catheters. You can usually find their contact details on your invoices or delivery paperwork. If you are still unsure, contact your prescribing clinician or your insurance company.

The supplier can choose not to provide it. This is different from your insurance saying they won’t pay for it. Insurance plans do not decide which type of intermittent catheter your clinician prescribes.

Call Coloplast Care at 1.866.226.6362 for assistance in finding a supplier who will honor your prescription.

Now. We recommend beginning the process now so everything is ready for January 1, 2026.

1. You can check your current prescription or medical records for details about your intermittent catheter type.
2. Contact your supplier and ask them to share details on which intermittent catheter you are using.

Your intermittent catheter will be the same. Only the billing code your supplier uses will change. If you do not get your intermittent catheter, please contact Coloplast Care at 1.866.226.6362

A hydrophilic catheter is a type of urinary catheter that comes with a coating that becomes slippery when activated with water. This helps to reduce friction during insertion and withdrawal and can help minimize discomfort and risk of urinary tract damage during use. SpeediCath® and Luja™ catheters have a unique hydrophilic coating that is instantly ready-to-use.

Contact Coloplast Care at 1.866.226.6362 or speak with your prescribing clinician for personalized advice.

1. An overview of the current billing codes and new billing codes are included below.
2. The new codes will go into effect January 1, 2026.
3. All hydrophilic intermittent catheter prescriptions should have the word “hydrophilic” or brand name/model number on the prescription as that will work now and in 2026.

If you update your prescription with only the new billing codes before January 1, 2026, the codes will not be recognized by your insurance. Instead make sure your supplier or prescribing clinician includes the word “hydrophilic” or the brand name/item number on your prescription as that will work now and in 2026.