2025 HCPCS Code A5057
Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each
TAGS: barrier extended ostomy built| Short Description | 1 pc ost pou w built-in conv |
| HCPCS Action Code | N - No maintenance for this code |
| HCPCS Coverage Code | D - Special coverage instructions apply |
| HCPCS Code Added Date | January 01, 2012 |
| HCPCS Action Effective Date | January 01, 2012 |
| HCPCS Pricing Indicator Code | 37 - Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings) |
| HCPCS Type Of Service Code | P - Lump sum purchase of DME, prosthetics, orthotics |
| HCPCS Multiple Pricing Indicator Code | A - Not applicable as HCPCS priced under one methodology |
| HCPCS Anesthesia Base Unit Quantity | 0 |
| HCPCS Coverage Issues Manual Reference Section Number |
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