HCPCS Code Details - A4391

HCPCS Level II Code
Transportation Services Including Ambulance, Medical & Surgical Supplies
HCPCS Code A4391
Description

Long description:
Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each

Short description:
Urinary pouch w ex wear 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 A4390 · Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each

  • HCPCS A4379 · Ostomy pouch, urinary, with faceplate attached, plastic, each

  • HCPCS A4380 · Ostomy pouch, urinary, with faceplate attached, rubber, each

  • HCPCS A4381 · Ostomy pouch, urinary, for use on faceplate, plastic, each

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

  • HCPCS A4383 · Ostomy pouch, urinary, for use on faceplate, rubber, each

  • HCPCS A4392 · Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each

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

  • HCPCS A4428 · Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each

  • HCPCS A4429 · Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each

  • HCPCS A4430 · Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (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”