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A4387 Ost clsd pouch w att st barr

A Codes

Also known as: closed pouch system, one-piece ostomy bag

Ostomy closed pouch with attached skin barrier, a pre-assembled one-piece ostomy system combining disposable pouch with integrated barrier.

In Plain Language

all-in-one stoma pouch; attached barrier bag

Clinical Context

Used in colostomy patients with formed or absent stool output. Simplifies system and reduces component count.

RVU Information

CPT A4387 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

Colorectal SurgeryNursingOstomy

Frequently Asked Questions

What is CPT code A4387?

CPT A4387 (Ost clsd pouch w att st barr) is a A Codes code. Ostomy closed pouch with attached skin barrier, a pre-assembled one-piece ostomy system combining disposable pouch with integrated barrier.

Does Medicare cover A4387?

Medicare coverage for A4387 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used in colostomy patients with formed or absent stool output. Simplifies system and reduces component count. A physician order is typically required.

When is CPT A4387 used?

Used in colostomy patients with formed or absent stool output. Simplifies system and reduces component count.

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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.