HCPCS Level IIsuppliesActive
A5057
1 pc ost pou w built-in conv
BETOS: D1F
Effective: 2012-01-01
Referenced in 1 policies
Description
Ostomy pouch, drainable, with extended wear 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