Table of content for "Ost pch clsd for bar w lk fl" (HCPCS A4420)
General information on the “A4420” code
HCPCS Code: A4420
Long Description: Ostomy pouch, closed; for use on barrier with locking flange (2 piece), each
Short Description: Ost pch clsd for bar w lk fl
Original information is taken from A4420 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: C – Carrier judgment
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: 20040101
Code Effective Date: 20040101
Action Code: N – No maintenance for this code