Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each

Basic Information

Added: 1/1/2004
HCPCS Action Effective Date

1/1/2004

HCPCS Action Code/Description

N / No maintenance for this code

Short Description: Ost pch drain/barr lk flng/f
Long Description: Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each
Anesthesia Base Unit Quantity

0

Service Code Information

HCPCS Berenson-Eggers Type Of Service Code/Description:

D1F / Prosthetic/Orthotic devices

HCPCS Type Of Service Code #1 P
Type Of Service Cod #1 Description Lump sum purchase of DME, prosthetics, orthotics

Pricing/Coverage Information

Coverage Code C
Description Carrier judgment
Pricing Indicator Code #1 37
Pricing Indicator Code #1 Description Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)
Pricing Indicator Code #1 Type Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multi-Pricing Indicator Code A
Description Not applicable as HCPCS priced under one methodology
;