HCPCS code A4412 — Ost pouch drain high output. Status: Active. Effective Jan 1, 2006. Source: CMS HCPCS Level II.

A4412

Active

Ost pouch drain high output

Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each

Category: Transportation & Supplies
Section: A-codes: Transportation, Medical & Surgical Supplies
Effective: Jan 1, 2006
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of A4412 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