Table of content for "Urine ost pouch w faucet/tap" (HCPCS A4428)
General information on the “A4428” code
HCPCS Code: A4428
Long Description: Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each
Short Description: Urine ost pouch w faucet/tap
Original information is taken from A4428 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: C – Carrier judgment
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: 20040101
Code Effective Date: 20040101
Action Code: N – No maintenance for this code