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HCPCS Procedure & Supply Codes

Medical And Surgical Supplies

section notes

Ostomy Supplies

section notes
A4361   Ostomy faceplate, each
A4362   Skin barrier; solid, 4 x 4 or equivalent; each
A4363   Ostomy clamp, any type, replacement only, each
A4364   Adhesive, liquid or equal, any type, per oz
A4366   Ostomy vent, any type, each
A4367   Ostomy belt, each
A4368   Ostomy filter, any type, each
A4369   Ostomy skin barrier, liquid (spray, brush, etc.), per oz
A4371   Ostomy skin barrier, powder, per oz
A4372   Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in con...
A4373   Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in c...
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
A4379   Ostomy pouch, urinary, with faceplate attached, plastic, each
A4380   Ostomy pouch, urinary, with faceplate attached, rubber, each
A4381   Ostomy pouch, urinary, for use on faceplate, plastic, each
A4382   Ostomy pouch, urinary, for use on faceplate, heavy plastic, each
A4383   Ostomy pouch, urinary, for use on faceplate, rubber, each
A4384   Ostomy faceplate equivalent, silicone ring, each
A4385   Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in ...
A4387   Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each
A4388   Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each
A4389   Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece...
A4390   Ostomy pouch, drainable, with extended wear barrier attached, with built-in conv...
A4391   Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each
A4392   Ostomy pouch, urinary, with standard wear barrier attached, with built-in convex...
A4393   Ostomy pouch, urinary, with extended wear barrier attached, with built-in convex...
A4394   Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce
A4395   Ostomy deodorant for use in ostomy pouch, solid, per tablet
A4396   Ostomy belt with peristomal hernia support
A4398   Ostomy irrigation supply; bag, each
A4399   Ostomy irrigation supply; cone/catheter, with or without brush
A4400   Ostomy irrigation set
A4402   Lubricant, per ounce
A4404   Ostomy ring, each
A4405   Ostomy skin barrier, non-pectin based, paste, per ounce
A4406   Ostomy skin barrier, pectin-based, paste, per ounce
A4407   Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear,...
A4408   Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, ...
A4409   Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, ...
A4410   Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, ...
A4411   Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in con...
A4412   Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece ...
A4413   Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece ...
A4414   Ostomy skin barrier, with flange (solid, flexible or accordion), without built-i...
A4415   Ostomy skin barrier, with flange (solid, flexible or accordion), without built-i...
A4416   Ostomy pouch, closed, with barrier attached, with filter (1 piece), each
A4417   Ostomy pouch, closed, with barrier attached, with built-in convexity, with filte...
A4418   Ostomy pouch, closed; without barrier attached, with filter (1 piece), each
A4419   Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2...
A4420   Ostomy pouch, closed; for use on barrier with locking flange (2 piece), each
A4421   Ostomy supply; miscellaneous
A4422   Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to ...
A4423   Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 pie...
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 ...
A4428   Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap...
A4429   Ostomy pouch, urinary, with barrier attached, with built-in convexity, with fauc...
A4430   Ostomy pouch, urinary, with extended wear barrier attached, with built-in convex...
A4431   Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1...
A4432   Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-t...
A4433   Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each
A4434   Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type ...
A4435   Ostomy pouch, drainable, high output, with extended wear barrier (one-piece syst...
A4436   Irrigation supply; sleeve, reusable, per month
A4437   Irrigation supply; sleeve, disposable, per month
A5051   Ostomy pouch, closed; with barrier attached (1 piece), each
A5052   Ostomy pouch, closed; without barrier attached (1 piece), each
A5053   Ostomy pouch, closed; for use on faceplate, each
A5054   Ostomy pouch, closed; for use on barrier with flange (2 piece), each
A5055   Stoma cap
A5056   Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 pi...
A5057   Ostomy pouch, drainable, with extended wear barrier attached, with built in conv...
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
A5071   Ostomy pouch, urinary; with barrier attached (1 piece), each
A5072   Ostomy pouch, urinary; without barrier attached (1 piece), each
A5073   Ostomy pouch, urinary; for use on barrier with flange (2 piece), each
A5081   Stoma plug or seal, any type
A5082   Continent device; catheter for continent stoma
A5083   Continent device, stoma absorptive cover for continent stoma
A5093   Ostomy accessory; convex insert
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