HCPCS code A4417 — Ost pch w bar/bltinconv/fltr.
Status: Active.
Effective Jan 1, 2004.
Source: CMS HCPCS Level II.
A4417
ActiveOst pch w bar/bltinconv/fltr
Ostomy pouch, closed, with barrier attached, with built-in convexity, 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 A4417 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