HCPCS Code A4387

Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each
Code effective Jan 01, 2003

HCPCS Section
Transportation Services Including Ambulance, Medical & Surgical Supplies

A4387 is a valid 2026 HCPCS code meaning Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each or (Ost clsd pouch w att st barr) for short. HCPCS A4387 has been effective since 01/01/2003 and applies to Lump sum purchase of DME, prosthetics, orthotics.

HCPCS Code Details - A4387

HCPCS Level II Code
Section A - Transportation Services Including Ambulance, Medical & Surgical Supplies
HCPCS Code A4387
Description

Long description:
Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each

Short description:
Ost clsd pouch w att st barr

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, 2000

See also

  • HCPCS A4385 · Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each

  • HCPCS A4416 · Ostomy pouch, closed, with barrier attached, with filter (1 piece), each

  • HCPCS A4417 · Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each

  • HCPCS A4388 · Ostomy pouch, drainable, with extended wear barrier attached, (1 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”

HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026

CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.