HCPCS code A4422 — Ost pouch absorbent material. Status: Active. Effective Jan 1, 2003. Source: CMS HCPCS Level II.

A4422

Active

Ost pouch absorbent material

Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, 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 A4422 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
Practitioner Services 7

Source: CMS Medicare NCCI Medically Unlikely Edits