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A4381 Urinary plastic pouch without fp

A Codes

Also known as: plastic urostomy pouch, separate attachment urostomy

Urinary plastic pouch without face plate, a plastic urostomy drainage pouch without integrated face plate requiring separate barrier attachment.

In Plain Language

plain plastic urine bag; urostomy pouch without flange

Clinical Context

Used with separately purchased face plates. Allows choice of barrier systems for urostomy patients.

RVU Information

CPT A4381 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

UrologyNursing

Frequently Asked Questions

What is CPT code A4381?

CPT A4381 (Urinary plastic pouch without fp) is a A Codes code. Urinary plastic pouch without face plate, a plastic urostomy drainage pouch without integrated face plate requiring separate barrier attachment.

Does Medicare cover A4381?

Medicare coverage for A4381 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used with separately purchased face plates. Allows choice of barrier systems for urostomy patients. A physician order is typically required.

When is CPT A4381 used?

Used with separately purchased face plates. Allows choice of barrier systems for urostomy patients.

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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.