HCPCS code A5063 — Drain ostomy pouch w/flange. Status: Active. Effective Jan 1, 2003. Source: CMS HCPCS Level II.

A5063

Active

Drain ostomy pouch w/flange

Ostomy pouch, drainable; for use on barrier with flange (2 piece system), 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 A5063 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 1
Practitioner Services 0

Source: CMS Medicare NCCI Medically Unlikely Edits