HCPCS Code Section: HCPCS A Codes

A5073

Ostomy pouch, urinary; for use on barrier with flange (2 piece), each Short Description: Urinary pouch on barr w/flng Coverage Code: Special coverage instructions apply Action Code: No maintenance …

A5072

Ostomy pouch, urinary; without barrier attached (1 piece), each Short Description: Urinary pouch w/o barrier Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date …

A5071

Ostomy pouch, urinary; with barrier attached (1 piece), each Short Description: Urinary pouch w/barrier Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …

A5063

Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each Short Description: Drain ostomy pouch w/flange Coverage Code: Special coverage instructions apply Action Code: No maintenance …

A5062

Ostomy pouch, drainable; without barrier attached (1 piece), each Short Description: Drnble ostomy pouch w/o barr Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code …

A5061

Ostomy pouch, drainable; with barrier attached, (1 piece), each Short Description: Pouch drainable w barrier at Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

A5057

Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each Short Description: 1 pc ost pou w built-in conv Coverage Code: Special …

A5114

Leg strap; foam or fabric, replacement only, per set Short Description: Foam/fabric leg strap Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …

A5056

Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each Short Description: 1 pc ost pouch w filter Coverage Code: Special coverage instructions apply Action Code: …

A5113

Leg strap; latex, replacement only, per set Short Description: Latex leg strap Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …