A4377 Drainable plstic pch without fp
Also known as: plastic drainable pouch, separate attachment bag
Drainable plastic pouch without face plate, an open-ended plastic ostomy pouch without integrated face plate, requiring separate barrier attachment.
In Plain Language
plain drainable stoma bag; barrier-free pouch
Clinical Context
Used with separately purchased face plates or barrier systems. Allows flexibility in barrier selection.
RVU Information
CPT A4377 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 A4377?
CPT A4377 (Drainable plstic pch without fp) is a A Codes code. Drainable plastic pouch without face plate, an open-ended plastic ostomy pouch without integrated face plate, requiring separate barrier attachment.
Does Medicare cover A4377?
Medicare coverage for A4377 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used with separately purchased face plates or barrier systems. Allows flexibility in barrier selection. A physician order is typically required.
When is CPT A4377 used?
Used with separately purchased face plates or barrier systems. Allows flexibility in barrier selection.
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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.