HCPCS Code Details - A5053

HCPCS Level II Code
Transportation Services Including Ambulance, Medical & Surgical Supplies
HCPCS Code A5053
Description

Long description:
Ostomy pouch, closed; for use on faceplate, each

Short description:
Clsd ostomy pouch faceplate

HCPCS Modifier1
HCPCS 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
Coverage code D - Special coverage instructions apply
BETOS2 code D1F - Prosthetic/Orthotic devices
HCPCS Action code N - No maintenance for this code
Type of service P - Lump sum purchase of DME, prosthetics, orthotics
Effective date Effective Jan 01, 2003
Date added Added Jan 01, 1990
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS A4418 · Ostomy pouch, closed; without barrier attached, with filter (1 piece), each

  • HCPCS A4419 · Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each

  • HCPCS A4420 · Ostomy pouch, closed; for use on barrier with locking flange (2 piece), each

  • HCPCS A4423 · Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each

  • HCPCS A5051 · Ostomy pouch, closed; with barrier attached (1 piece), each

  • HCPCS A5052 · Ostomy pouch, closed; without barrier attached (1 piece), each

  • HCPCS A5054 · Ostomy pouch, closed; for use on barrier with flange (2 piece), each


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”