HCPCS Code A4417

Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each
Short DescriptionOst pch w bar/bltinconv/fltr
Year2026
Coverage CodeC = Carrier judgment
Action CodeN = No maintenance for this code
Action Effective DateJanuary 01, 2004
Code Added DateJanuary 01, 2004
Pricing Indicator37 = Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)
Type of ServiceP = Lump sum purchase of DME, prosthetics, orthotics