HCPCS Code Section: HCPCS A Codes

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 …

Ostomy supply; miscellaneous Short Description: Ostomy supply misc Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 1985 Effective Date: January 1, 2018 …

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

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

Ostomy pouch, closed; without barrier attached, with filter (1 piece), each Short Description: Ost pch clsd w/o bar w filtr Coverage Code: Carrier judgment Action Code: No maintenance for …

Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each Short Description: Ost pch w bar/bltinconv/fltr Coverage Code: Carrier judgment Action Code: No maintenance for …

Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each Short Description: Os pch urine w bar/fange/tap Coverage Code: Carrier judgment …

Gravlee jet washer Short Description: Gravlee jet washer Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, 1986 Effective Date: January …