HCPCS A5057 Code. 1 pc ost pou w built-in conv

HCPCS Code: A5057
Long Description: Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each
Short Description: 1 pc ost pou w built-in conv

Original information is taken from A5057 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

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: 20120101
Code Effective Date: 20120101
Action Code: N – No maintenance for this code