A4375 Drainable plastic pch w fcpl
Also known as: drainable pouch, open-ended bag
Drainable plastic pouch with face plate, an open-ended plastic ostomy pouch that can be emptied and reused, with integrated or separate face plate.
In Plain Language
reusable stoma pouch; drainable collection bag
Clinical Context
Used with colostomies and ileostomies for frequent drainage episodes. Plastic material is durable and washable.
RVU Information
CPT A4375 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 A4375?
CPT A4375 (Drainable plastic pch w fcpl) is a A Codes code. Drainable plastic pouch with face plate, an open-ended plastic ostomy pouch that can be emptied and reused, with integrated or separate face plate.
Does Medicare cover A4375?
Medicare coverage for A4375 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used with colostomies and ileostomies for frequent drainage episodes. Plastic material is durable and washable. A physician order is typically required.
When is CPT A4375 used?
Used with colostomies and ileostomies for frequent drainage episodes. Plastic material is durable and washable.
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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.