HCPCS Codes for Lump sum purchase of DME, prosthetics, orthotics


  • A4351

    Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each
  • A4352

    Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each
  • A4353

    Intermittent urinary catheter, with insertion supplies
  • A4354

    Insertion tray with drainage bag but without catheter
  • A4355

    Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each
  • A4356

    External urethral clamp or compression device (not to be used for catheter clamp), each
  • A4357

    Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each
  • A4358

    Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each
  • A4361

    Ostomy faceplate, each
  • A4362

    Skin barrier; solid, 4 x 4 or equivalent; each
  • A4363

    Ostomy clamp, any type, replacement only, each
  • A4364

    Adhesive, liquid or equal, any type, per oz
  • A4366

    Ostomy vent, any type, each
  • A4367

    Ostomy belt, each
  • A4368

    Ostomy filter, any type, each
  • A4369

    Ostomy skin barrier, liquid (spray, brush, etc.), per oz
  • A4371

    Ostomy skin barrier, powder, per oz
  • A4372

    Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each
  • A4373

    Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each
  • A4375

    Ostomy pouch, drainable, with faceplate attached, plastic, each
  • A4376

    Ostomy pouch, drainable, with faceplate attached, rubber, each
  • A4377

    Ostomy pouch, drainable, for use on faceplate, plastic, each
  • A4378

    Ostomy pouch, drainable, for use on faceplate, rubber, each
  • A4379

    Ostomy pouch, urinary, with faceplate attached, plastic, each
  • A4380

    Ostomy pouch, urinary, with faceplate attached, rubber, each
  • A4381

    Ostomy pouch, urinary, for use on faceplate, plastic, each
  • A4382

    Ostomy pouch, urinary, for use on faceplate, heavy plastic, each
  • A4383

    Ostomy pouch, urinary, for use on faceplate, rubber, each
  • A4384

    Ostomy faceplate equivalent, silicone ring, each
  • A4385

    Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each
  • A4387

    Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each
  • A4388

    Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each
  • A4389

    Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each
  • A4390

    Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each
  • A4391

    Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each
  • A4392

    Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each
  • A4393

    Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each
  • A4394

    Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce
  • A4395

    Ostomy deodorant for use in ostomy pouch, solid, per tablet
  • A4396

    Ostomy belt with peristomal hernia support
  • A4397

    Irrigation supply; sleeve, each
  • A4398

    Ostomy irrigation supply; bag, each
  • A4399

    Ostomy irrigation supply; cone/catheter, with or without brush
  • A4400

    Ostomy irrigation set
  • A4402

    Lubricant, per ounce
  • A4404

    Ostomy ring, each
  • A4405

    Ostomy skin barrier, non-pectin based, paste, per ounce
  • A4406

    Ostomy skin barrier, pectin-based, paste, per ounce
  • A4407

    Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each
  • A4408

    Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each