Showing codes A4373 (Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each) — A4407 (Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each)

A4373 - Skin barrier with flange
Long description: Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each
Code added date: 20000101.
Code effective date: 20030101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4375 - Drainable plastic pch w fcpl
Long description: Ostomy pouch, drainable, with faceplate attached, plastic, each
Code added date: 20000101.
Code effective date: 20030101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4376 - Drainable rubber pch w fcplt
Long description: Ostomy pouch, drainable, with faceplate attached, rubber, each
Code added date: 20000101.
Code effective date: 20030101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4377 - Drainable plstic pch w/o fp
Long description: Ostomy pouch, drainable, for use on faceplate, plastic, each
Code added date: 20000101.
Code effective date: 20030101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4378 - Drainable rubber pch w/o fp
Long description: Ostomy pouch, drainable, for use on faceplate, rubber, each
Code added date: 20000101.
Code effective date: 20030101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4379 - Urinary plastic pouch w fcpl
Long description: Ostomy pouch, urinary, with faceplate attached, plastic, each
Code added date: 20000101.
Code effective date: 20030101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4380 - Urinary rubber pouch w fcplt
Long description: Ostomy pouch, urinary, with faceplate attached, rubber, each
Code added date: 20000101.
Code effective date: 20030101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4381 - Urinary plastic pouch w/o fp
Long description: Ostomy pouch, urinary, for use on faceplate, plastic, each
Code added date: 20000101.
Code effective date: 20030101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4382 - Urinary hvy plstc pch w/o fp
Long description: Ostomy pouch, urinary, for use on faceplate, heavy plastic, each
Code added date: 20000101.
Code effective date: 20030101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4383 - Urinary rubber pouch w/o fp
Long description: Ostomy pouch, urinary, for use on faceplate, rubber, each
Code added date: 20000101.
Code effective date: 20030101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4384 - Ostomy faceplt/silicone ring
Long description: Ostomy faceplate equivalent, silicone ring, each
Code added date: 20000101.
Code effective date: 20030101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4385 - Ost skn barrier sld ext wear
Long description: Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each
Code added date: 20000101.
Code effective date: 20030101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4387 - Ost clsd pouch w att st barr
Long description: Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each
Code added date: 20000101.
Code effective date: 20030101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4388 - Drainable pch w ex wear barr
Long description: Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each
Code added date: 20000101.
Code effective date: 20030101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4389 - Drainable pch w st wear barr
Long description: Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each
Code added date: 20000101.
Code effective date: 20030101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4390 - Drainable pch ex wear convex
Long description: Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each
Code added date: 20000101.
Code effective date: 20030101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4391 - Urinary pouch w ex wear barr
Long description: Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each
Code added date: 20000101.
Code effective date: 20030101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4392 - Urinary pouch w st wear barr
Long description: Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each
Code added date: 20000101.
Code effective date: 20030101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4393 - Urine pch w ex wear bar conv
Long description: Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each
Code added date: 20000101.
Code effective date: 20030101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4394 - Ostomy pouch liq deodorant
Long description: Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce
Code added date: 20000101.
Code effective date: 20070101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4395 - Ostomy pouch solid deodorant
Long description: Ostomy deodorant for use in ostomy pouch, solid, per tablet
Code added date: 20000101.
Code effective date: 20030101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4396 - Peristomal hernia supprt blt
Long description: Ostomy belt with peristomal hernia support
Code added date: 20010101.
Code effective date: 20030101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4397 - Irrigation supply sleeve
Long description: Irrigation supply; sleeve, each
Code added date: 19900101.
Code effective date: 20220101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4398 - Ostomy irrigation bag
Long description: Ostomy irrigation supply; bag, each
Code added date: 19890101.
Code effective date: 19970101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4399 - Ostomy irrig cone/cath w brs
Long description: Ostomy irrigation supply; cone/catheter, with or without brush
Code added date: 19890101.
Code effective date: 20110101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4400 - Ostomy irrigation set
Long description: Ostomy irrigation set
Code added date: 19820101.
Code effective date: 19900101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4402 - Lubricant per ounce
Long description: Lubricant, per ounce
Code added date: 19850101.
Code effective date: 19950101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4404 - Ostomy ring each
Long description: Ostomy ring, each
Code added date: 19850101.
Code effective date: 19950101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4405 - Nonpectin based ostomy paste
Long description: Ostomy skin barrier, non-pectin based, paste, per ounce
Code added date: 20030101.
Code effective date: 20030101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4406 - Pectin based ostomy paste
Long description: Ostomy skin barrier, pectin-based, paste, per ounce
Code added date: 20030101.
Code effective date: 20030101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A4407 - Ext wear ost skn barr <=4sq"
Long description: Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each
Code added date: 20030101.
Code effective date: 20030101.
Pricing Indicator Code(s): 37 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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