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”
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: