hcpcs data

A4430

Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each

Medicare: Carrier judgmentA seriesAdded January 01, 2004

What A4430 means

A4430 (Ost urine pch w b/bltin conv) belongs to the HCPCS Level II A series (Transportation Services including Ambulance; Medical and Surgical Supplies; Vision and Hearing Systems). Its Medicare coverage status is Carrier judgment. Medicare coverage is left to the judgment of the local Medicare Administrative Contractor (MAC), so check your MAC's local coverage determinations.

Part B pricing: Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings).

Code details

Short description
Ost urine pch w b/bltin conv
Coverage code
C = Carrier judgment
Pricing indicator
37 = Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)
Multiple pricing indicator
A = Not applicable as HCPCS priced under one methodology
Type of service
P = Lump sum purchase of DME, prosthetics, orthotics
Action code
N = No maintenance for this code
Action effective date
January 01, 2004
Code added date
January 01, 2004
Data year
2026

Questions about A4430

What is HCPCS code A4430?

HCPCS code A4430 is a Level II code in the A series (Transportation Services including Ambulance; Medical and Surgical Supplies; Vision and Hearing Systems). Its full description is: "Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each"

Is A4430 a CPT code?

No. A4430 is a HCPCS Level II code maintained by CMS, not a CPT (Level I) code from the American Medical Association. People often search for it as a CPT code because both code sets are reported on the same claims.

Does Medicare cover HCPCS code A4430?

The Medicare coverage code for A4430 is "Carrier judgment". Medicare coverage is left to the judgment of the local Medicare Administrative Contractor (MAC), so check your MAC's local coverage determinations.

When was HCPCS code A4430 added?

A4430 was added to the HCPCS code set on January 01, 2004. The most recent action on it (No maintenance for this code) took effect on January 01, 2004.

All A codes