HCPCS Code A5057

Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each
Short Description1 pc ost pou w built-in conv
Year2026
Coverage CodeD = Special coverage instructions apply
Action CodeN = No maintenance for this code
Action Effective DateJanuary 01, 2012
Code Added DateJanuary 01, 2012
Pricing Indicator37 = Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)
Type of ServiceP = Lump sum purchase of DME, prosthetics, orthotics