HCPCS A4389 Code. Drainable pch w st wear barr


Table of content for "Drainable pch w st wear barr" (HCPCS A4389)

General information on the “A4389” code

HCPCS Code: A4389
Long Description: Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each
Short Description: Drainable pch w st wear barr

Original information is taken from A4389 page

Pricing indicators

Pricing Indicator Code 1: 37 – Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings). Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology

Certification and additional reference information

Coverage

Coverage: D – Special coverage instructions apply

Type of service


Berenson-Eggers Type of Service (BETOS): D1F – Prosthetic/Orthotic devices
Type Of Service 1: P – Lump sum purchase of DME, prosthetics, orthotics

Misc information

Anesthesia Base Unit Quantity: 0
Code Added Date: 20000101
Code Effective Date: 20030101
Action Code: N – No maintenance for this code