HCPCS code A4426 — Ost pch drain 2 piece system. Status: Active. Effective Jan 1, 2004. Source: CMS HCPCS Level II.

A4426

Active

Ost pch drain 2 piece system

Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), 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 A4426 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