HCPCS A4412 Code. Ost pouch drain high output

HCPCS Code: A4412
Long Description: Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each
Short Description: Ost pouch drain high output

Original information is taken from A4412 page

Pricing Indicator Code 1: 37 – Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings). Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology

Coverage: D – Special coverage instructions apply

Processing Note Number: 0124
Berenson-Eggers Type of Service (BETOS): D1F – Prosthetic/Orthotic devices
Type Of Service 1: P – Lump sum purchase of DME, prosthetics, orthotics

Anesthesia Base Unit Quantity: 0
Code Added Date: 20060101
Code Effective Date: 20060101
Action Code: N – No maintenance for this code