A4363 Ostomy clamp, replacement
Also known as: pouch clamp, ostomy clamp
Ostomy clamp replacement, a reusable or disposable clamp mechanism for closing drainable ostomy pouches to prevent leakage.
In Plain Language
drainable pouch closer; clamp clip
Clinical Context
Used to seal open-ended drainable pouches after emptying to prevent leakage between drainage episodes.
RVU Information
CPT A4363 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
HCPCS A-codes cover medical supplies, equipment, and transport services. Documentation must establish medical necessity and include a physician order. For durable medical equipment (DME), a Certificate of Medical Necessity (CMN) or detailed written order may be required.
Specialties
Frequently Asked Questions
What is CPT code A4363?
CPT A4363 (Ostomy clamp, replacement) is a A Codes code. Ostomy clamp replacement, a reusable or disposable clamp mechanism for closing drainable ostomy pouches to prevent leakage.
Does Medicare cover A4363?
Medicare coverage for A4363 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used to seal open-ended drainable pouches after emptying to prevent leakage between drainage episodes. A physician order is typically required.
When is CPT A4363 used?
Used to seal open-ended drainable pouches after emptying to prevent leakage between drainage episodes.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.