HCPCS Code Details - A4387

HCPCS Level II Code
Transportation Services Including Ambulance, Medical & Surgical Supplies
HCPCS Code A4387

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 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, 2000
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 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”