A4378 Drainable rubber pch without fp
Also known as: rubber drainable pouch, separate attachment bag
Drainable rubber pouch without face plate, an open-ended rubber ostomy pouch without integrated face plate, requiring separate barrier attachment.
In Plain Language
rubber stoma bag without flange; latex drainable pouch
Clinical Context
Used with separately purchased face plates or barriers. Alternative for patients preferring rubber over plastic.
RVU Information
CPT A4378 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 A4378?
CPT A4378 (Drainable rubber pch without fp) is a A Codes code. Drainable rubber pouch without face plate, an open-ended rubber ostomy pouch without integrated face plate, requiring separate barrier attachment.
Does Medicare cover A4378?
Medicare coverage for A4378 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used with separately purchased face plates or barriers. Alternative for patients preferring rubber over plastic. A physician order is typically required.
When is CPT A4378 used?
Used with separately purchased face plates or barriers. Alternative for patients preferring rubber over plastic.
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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.