Table of content for "Ost skn barr w/o conv >4 sqi" (HCPCS A4415)
General information on the “A4415” code
HCPCS Code: A4415
Long Description: Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each
Short Description: Ost skn barr w/o conv >4 sqi
Original information is taken from A4415 page
Pricing indicators
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
Certification and additional reference information
Coverage
Coverage: D – Special coverage instructions apply
Type of service
Berenson-Eggers Type of Service (BETOS): D1F – Prosthetic/Orthotic devices
Type Of Service 1: P – Lump sum purchase of DME, prosthetics, orthotics
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20030101
Code Effective Date: 20060101
Action Code: N – No maintenance for this code