HCPCS Code A4375

Ostomy pouch, drainable, with faceplate attached, plastic, each
Short DescriptionDrainable plastic pch w fcpl
Year2026
Coverage CodeD = Special coverage instructions apply
Action CodeN = No maintenance for this code
Action Effective DateJanuary 01, 2003
Code Added DateJanuary 01, 2000
Pricing Indicator37 = Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)
Type of ServiceP = Lump sum purchase of DME, prosthetics, orthotics