HCPCS Level IIsuppliesActive
A4417
Ost pch w bar/bltinconv/fltr
BETOS: D1F
Effective: 2004-01-01
Referenced in 1 policies
Description
Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (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