HCPCS code A5056 — 1 pc ost pouch w filter.
Status: Active.
Effective Jan 1, 2012.
Source: CMS HCPCS Level II.
A5056
Active1 pc ost pouch w filter
Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each
Category:
Transportation & Supplies
Section:
A-codes: Transportation, Medical & Surgical Supplies
Effective:
Jan 1, 2012
Code type:
alphanumeric
OPPS Status:
N
— Items / services packaged into APC rates
MUE — Medically Unlikely Edits
Maximum units of A5056 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 |
|---|---|
| DME Supplier | 120 |
| Outpatient Hospital | 90 |
| Practitioner Services | 90 |
Source: CMS Medicare NCCI Medically Unlikely Edits