HCPCS Code A4425

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each
Short DescriptionOst pch drain for barrier fl
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