Table of content for "Ostomy pouch solid deodorant" (HCPCS A4395)
General information on the “A4395” code
HCPCS Code: A4395
Long Description: Ostomy deodorant for use in ostomy pouch, solid, per tablet
Short Description: Ostomy pouch solid deodorant
Original information is taken from A4395 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