HCPCS code A4416 — Ost pch clsd w barrier/filtr. Status: Active. Effective Jan 1, 2004. Source: CMS HCPCS Level II.

A4416

Active

Ost pch clsd w barrier/filtr

Ostomy pouch, closed, with barrier attached, with filter (1 piece), each

Category: Transportation & Supplies
Section: A-codes: Transportation, Medical & Surgical Supplies
Effective: Jan 1, 2004
Code type: alphanumeric
OPPS Status: N — Items / services packaged into APC rates

MUE — Medically Unlikely Edits

Maximum units of A4416 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