HCPCS Procedure & Supply Codes

Medical And Surgical Supplies

section notes

Ostomy Supplies

section notes
A4361   Ostomy face plate
A4362   Solid skin barrier
A4363   Ostomy clamp, replacement
A4364   Adhesive, liquid or equal
A4366   Ostomy vent
A4367   Ostomy belt
A4368   Ostomy filter
A4369‑A4373   Ostomy skin barrier
A4375   Drainable plastic pch w fcpl
A4376   Drainable rubber pch w fcplt
A4377   Drainable plstic pch w/o fp
A4378   Drainable rubber pch w/o fp
A4379   Urinary plastic pouch w fcpl
A4380   Urinary rubber pouch w fcplt
A4381   Urinary plastic pouch w/o fp
A4382   Urinary hvy plstc pch w/o fp
A4383   Urinary rubber pouch w/o fp
A4384   Ostomy faceplt/silicone ring
A4385   Ost skn barrier sld ext wear
A4387   Ost clsd pouch w att st barr
A4388   Drainable pch w ex wear barr
A4389   Drainable pch w st wear barr
A4390   Drainable pch ex wear convex
A4391   Urinary pouch w ex wear barr
A4392   Urinary pouch w st wear barr
A4393   Urine pch w ex wear bar conv
A4394   Ostomy pouch liq deodorant
A4395   Ostomy pouch solid deodorant
A4396   Peristomal hernia supprt blt
A4398   Ostomy irrigation bag
A4399   Ostomy irrig cone/cath w brs
A4400   Ostomy irrigation set
A4402   Lubricant per ounce
A4404   Ostomy ring each
A4405   Nonpectin based ostomy paste
A4406   Pectin based ostomy paste
A4407   Ext wear ost skn barr <=4sq"
A4408   Ext wear ost skn barr >4sq"
A4409   Ost skn barr convex <=4 sq i
A4410   Ost skn barr extnd >4 sq
A4411   Ost skn barr extnd =4sq
A4412   Ost pouch drain high output
A4413   2 pc drainable ost pouch
A4414   Ost sknbar w/o conv<=4 sq in
A4415   Ost skn barr w/o conv >4 sqi
A4416   Ost pch clsd w barrier/filtr
A4417   Ost pch w bar/bltinconv/fltr
A4418   Ost pch clsd w/o bar w filtr
A4419   Ost pch for bar w flange/flt
A4420   Ost pch clsd for bar w lk fl
A4421   Ostomy supply misc
A4422   Ost pouch absorbent material
A4423   Ost pch for bar w lk fl/fltr
A4424   Ost pch drain w bar & filter
A4425   Ost pch drain for barrier fl
A4426   Ost pch drain 2 piece system
A4427   Ost pch drain/barr lk flng/f
A4428   Urine ost pouch w faucet/tap
A4429   Urine ost pouch w bltinconv
A4430   Ost urine pch w b/bltin conv
A4431   Ost pch urine w barrier/tapv
A4432   Os pch urine w bar/fange/tap
A4433   Urine ost pch bar w lock fln
A4434   Ost pch urine w lock flng/ft
A4435   1pc ost pch drain hgh output
A4436   Irr supply sleev reus per mo
A4437   Irr supply sleev disp per mo
A5051   Pouch clsd w barr attached
A5052   Clsd ostomy pouch w/o barr
A5053   Clsd ostomy pouch faceplate
A5054   Clsd ostomy pouch w/flange
A5055   Stoma cap
A5056   1 pc ost pouch w filter
A5057   1 pc ost pou w built-in conv
A5061   Pouch drainable w barrier at
A5062   Drnble ostomy pouch w/o barr
A5063   Drain ostomy pouch w/flange
A5071   Urinary pouch w/barrier
A5072   Urinary pouch w/o barrier
A5073   Urinary pouch on barr w/flng
A5081   Stoma plug or seal, any type
A5082   Continent stoma catheter
A5083   Stoma absorptive cover
A5093   Ostomy accessory convex inse
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