Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each
Short Description: Ost urine pch w b/bltin conv
Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 2004
Effective Date: January 1, 2004
Termination Date: