HCPCS code A4391 — Urinary pouch w ex wear barr. Status: Active. Effective Jan 1, 2003. Source: CMS HCPCS Level II.

A4391

Active

Urinary pouch w ex wear barr

Ostomy pouch, urinary, with extended wear barrier attached (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 A4391 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