HCPCS Level IIsuppliesActive
A4390
Drainable pch ex wear convex
BETOS: D1F
Effective: 2003-01-01
Referenced in 1 policies
Description
Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each
Medicare Fee Schedule
2026 Medicare Physician Fee Schedule national payment rates
Statutory Exclusion
This code has a statutory exclusion from Medicare coverage.
Coverage Policies