HCPCS code A4413 — 2 pc drainable ost pouch. Status: Active. Effective Jan 1, 2003. Source: CMS HCPCS Level II.

A4413

Active

2 pc drainable ost pouch

Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, 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 A4413 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 2
Practitioner Services 2

Source: CMS Medicare NCCI Medically Unlikely Edits