A4376 Drainable rubber pch w fcplt
Also known as: rubber drainable pouch, latex pouch
Drainable rubber pouch with face plate, an open-ended rubber ostomy pouch for drainage and reuse with integrated or separate face plate.
In Plain Language
rubber stoma bag; latex drainable pouch
Clinical Context
Alternative drainable pouch material for patients who prefer rubber. Less commonly used due to latex allergy prevalence.
RVU Information
CPT A4376 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 A4376?
CPT A4376 (Drainable rubber pch w fcplt) is a A Codes code. Drainable rubber pouch with face plate, an open-ended rubber ostomy pouch for drainage and reuse with integrated or separate face plate.
Does Medicare cover A4376?
Medicare coverage for A4376 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Alternative drainable pouch material for patients who prefer rubber. Less commonly used due to latex allergy prevalence. A physician order is typically required.
When is CPT A4376 used?
Alternative drainable pouch material for patients who prefer rubber. Less commonly used due to latex allergy prevalence.
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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.