Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each
Short Description: Ost skn barr w/o conv >4 sqi
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: