A44 — HCPCS Level II Codes

• A4400 Ostomy irrigation set billable
• A4402 Lubricant, per ounce billable
• A4404 Ostomy ring, each billable
• A4405 Ostomy skin barrier, non-pectin based, paste, per ounce billable
• A4406 Ostomy skin barrier, pectin-based, paste, per ounce billable
• A4407 Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each billable
• A4408 Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each billable
• A4409 Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each billable
• A4410 Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each billable
• A4411 Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each billable
• A4412 Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each billable
• A4413 Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each billable
• A4414 Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each billable
• A4415 Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each billable
• A4416 Ostomy pouch, closed, with barrier attached, with filter (1 piece), each billable
• A4417 Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each billable
• A4418 Ostomy pouch, closed; without barrier attached, with filter (1 piece), each billable
• A4419 Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each billable
• A4420 Ostomy pouch, closed; for use on barrier with locking flange (2 piece), each billable
• A4421 Ostomy supply; miscellaneous billable
• A4422 Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each billable
• A4423 Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each billable
• A4424 Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each billable
• A4425 Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each billable
• A4426 Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each billable
• A4427 Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each billable
• A4428 Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each billable
• A4429 Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each billable
• A4430 Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each billable
• A4431 Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each billable
• A4432 Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each billable
• A4433 Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each billable
• A4434 Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each billable
• A4435 Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each billable
• A4436 Irrigation supply; sleeve, reusable, per month billable
• A4437 Irrigation supply; sleeve, disposable, per month billable
• A4438 Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each billable
• A4450 Tape, non-waterproof, per 18 square inches billable
• A4452 Tape, waterproof, per 18 square inches billable
• A4453 Rectal catheter with or without balloon, for use with any type transanal irrigation system, each billable
• A4455 Adhesive remover or solvent (for tape, cement or other adhesive), per ounce billable
• A4456 Adhesive remover, wipes, any type, each billable
• A4457 Enema tube, with or without adapter, any type, replacement only, each billable
• A4458 Enema bag with tubing, reusable billable
• A4459 Manual transanal irrigation system, includes water reservoir, pump, tubing, and accessories, without catheter, any type billable
• A4461 Surgical dressing holder, non-reusable, each billable
• A4463 Surgical dressing holder, reusable, each billable
• A4465 Non-elastic binder for extremity billable
• A4467 Belt, strap, sleeve, garment, or covering, any type billable
• A4468 Exsufflation belt, includes all supplies and accessories billable
• A4470 Gravlee jet washer billable
• A4479 Electronic transanal irrigation system, includes electronic pump, water reservoir, tubing, and accessories, without catheter, any type billable
• A4480 Vabra aspirator billable
• A4481 Tracheostoma filter, any type, any size, each billable
• A4483 Moisture exchanger, disposable, for use with invasive mechanical ventilation billable
• A4490 Surgical stockings above knee length, each billable
• A4495 Surgical stockings thigh length, each billable