Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each
Short Description: Ext wear ost skn barr <=4sq" Coverage Code: Special coverage instructions apply
Action Code: No maintenance for this code
Date Added: January 1, 2003
Effective Date: January 1, 2003
Termination Date: