A50 — HCPCS Level II Codes

• A5051 Ostomy pouch, closed; with barrier attached (1 piece), each billable
• A5052 Ostomy pouch, closed; without barrier attached (1 piece), each billable
• A5053 Ostomy pouch, closed; for use on faceplate, each billable
• A5054 Ostomy pouch, closed; for use on barrier with flange (2 piece), each billable
• A5055 Stoma cap billable
• A5056 Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each billable
• A5057 Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each billable
• A5061 Ostomy pouch, drainable; with barrier attached, (1 piece), each billable
• A5062 Ostomy pouch, drainable; without barrier attached (1 piece), each billable
• A5063 Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each billable
• A5071 Ostomy pouch, urinary; with barrier attached (1 piece), each billable
• A5072 Ostomy pouch, urinary; without barrier attached (1 piece), each billable
• A5073 Ostomy pouch, urinary; for use on barrier with flange (2 piece), each billable
• A5081 Stoma plug or seal, any type billable
• A5082 Continent device; catheter for continent stoma billable
• A5083 Continent device, stoma absorptive cover for continent stoma billable
• A5093 Ostomy accessory; convex insert billable