HCPCS Code A4422

Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each
Code effective Jan 01, 2003

HCPCS Section
Transportation Services Including Ambulance, Medical & Surgical Supplies

A4422 is a valid 2026 HCPCS code meaning Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each or (Ost pouch absorbent material) for short. HCPCS A4422 has been effective since 01/01/2003 and applies to Lump sum purchase of DME, prosthetics, orthotics.


HCPCS Code Details - A4422

HCPCS Level II Code
Section A - Transportation Services Including Ambulance, Medical & Surgical Supplies
HCPCS Code A4422
Description

Long description:
Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each

Short description:
Ost pouch absorbent material

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, 2003

See also

  • HCPCS A4421 · Ostomy supply; miscellaneous

  • HCPCS A4423 · Ostomy pouch, closed; for use on barrier with locking flange, with filter (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”


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

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