HCPCS Code A4412

Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each
Code effective Jan 01, 2006

HCPCS Section
Transportation Services Including Ambulance, Medical & Surgical Supplies

A4412 is a valid 2026 HCPCS code meaning Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each or (Ost pouch drain high output) for short. HCPCS A4412 has been effective since 01/01/2006 and applies to Lump sum purchase of DME, prosthetics, orthotics.

HCPCS Code Details - A4412

HCPCS Level II Code
Section A - Transportation Services Including Ambulance, Medical & Surgical Supplies
HCPCS Code A4412
Description

Long description:
Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each

Short description:
Ost pouch drain high output

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, 2006
Date added Added Jan 01, 2006

See also

  • HCPCS A4411 · Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each

  • HCPCS A4375 · Ostomy pouch, drainable, with faceplate attached, plastic, each

  • HCPCS A4376 · Ostomy pouch, drainable, with faceplate attached, rubber, each

  • HCPCS A4377 · Ostomy pouch, drainable, for use on faceplate, plastic, each

  • HCPCS A4378 · Ostomy pouch, drainable, for use on faceplate, rubber, each

  • HCPCS A4388 · Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each

  • HCPCS A4389 · Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each

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

  • HCPCS A4413 · Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each

  • HCPCS A4424 · Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each

  • HCPCS A4435 · Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

  • HCPCS A5056 · Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each

  • HCPCS A5057 · Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (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.