HCPCS Code Section: HCPCS A Codes

Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each Short Description: Ost pch drain/barr lk flng/f Coverage Code: Carrier judgment Action Code: …

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each Short Description: Ost skn barr extnd =4sq Coverage Code: Special coverage instructions apply Action …

Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each Short Description: Ost pch drain 2 piece system Coverage Code: Carrier judgment Action Code: No …

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each Short Description: Ost skn barr extnd >4 sq …

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each Short Description: Ost pch drain for barrier fl Coverage Code: Carrier judgment Action …

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each Short Description: Ost skn barr convex

Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2004 Effective Date: …

Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each Short Description: Ext wear ost skn barr >4sq” …

Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each Short Description: Ost pch for bar w lk fl/fltr Coverage Code: Carrier judgment Action …

Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each Short Description: Ost pouch absorbent material Coverage Code: Special coverage instructions apply Action …