HCPCS code A4390 — Drainable pch ex wear convex. Status: Active. Effective Jan 1, 2003. Source: CMS HCPCS Level II.

A4390

Active

Drainable pch ex wear convex

Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each

Category: Transportation & Supplies
Section: A-codes: Transportation, Medical & Surgical Supplies
Effective: Jan 1, 2003
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of A4390 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
Outpatient Hospital 1
Practitioner Services 1

Source: CMS Medicare NCCI Medically Unlikely Edits