Table of content for "Clsd ostomy pouch faceplate" (HCPCS A5053)
General information on the “A5053” code
HCPCS Code: A5053
Long Description: Ostomy pouch, closed; for use on faceplate, each
Short Description: Clsd ostomy pouch faceplate
Original information is taken from A5053 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: 19900101
Code Effective Date: 20030101
Action Code: N – No maintenance for this code