2025 HCPCS Code A5054

Ostomy pouch, closed; for use on barrier with flange (2 piece), each

TAGS: barrier ostomy flange
Short DescriptionClsd ostomy pouch w/flange
HCPCS Action Code N - No maintenance for this code
HCPCS Coverage Code D - Special coverage instructions apply
HCPCS Code Added Date January 01, 1990
HCPCS Action Effective Date January 01, 2003
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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