Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each
Short Description: Ost sknbar w/o conv<=4 sq in Coverage Code: Special coverage instructions apply
Action Code: No maintenance for this code
Date Added: January 1, 2003
Effective Date: January 1, 2006
Termination Date: