Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), 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 urine pch w b/bltin conv
Long Description:Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each
Anesthesia Base Unit Quantity

0

Service Code Information

HCPCS Berenson-Eggers Type Of Service Code/Description:

D1F / Prosthetic/Orthotic devices

Pricing/Coverage Information

Coverage CodeC
Description Carrier judgment
Pricing Indicator Code #137
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 CodeA
Description Not applicable as HCPCS priced under one methodology