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HCPCS Procedure & Supply Codes
Medical And Surgical Supplies
section notes
Ostomy Supplies
section notes
Ostomy pouch
section notes
Drainable
section notes
A4375   Ostomy pouch, drainable, with faceplate attached, plastic, each
A4376   Ostomy pouch, drainable, with faceplate attached, rubber, each
A4377   Ostomy pouch, drainable, for use on faceplate, plastic, each
A4378   Ostomy pouch, drainable, for use on faceplate, rubber, each
A4388A5057   with extended wear barrier attached, each
A4389   Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece...
A4412A4435   High output
A4424   Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each
A4425   Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter...
A4426   Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system)...
A4427   Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 ...
A5061   Ostomy pouch, drainable; with barrier attached, (1 piece), each
A5062   Ostomy pouch, drainable; without barrier attached (1 piece), each
A5063   Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each
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