A4391 Urinary pouch w ex wear barr
Also known as: extended wear urostomy, long-wear urine pouch
Urinary pouch with extended wear skin barrier, a urostomy drainage pouch with integrated extended-wear barrier for prolonged wear periods.
In Plain Language
durable urine collection pouch; extended-wear urostomy system
Clinical Context
Extended-wear barrier reduces changeout frequency in urostomy patients, improving convenience and reducing skin trauma.
RVU Information
CPT A4391 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 A4391?
CPT A4391 (Urinary pouch w ex wear barr) is a A Codes code. Urinary pouch with extended wear skin barrier, a urostomy drainage pouch with integrated extended-wear barrier for prolonged wear periods.
Does Medicare cover A4391?
Medicare coverage for A4391 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Extended-wear barrier reduces changeout frequency in urostomy patients, improving convenience and reducing skin trauma. A physician order is typically required.
When is CPT A4391 used?
Extended-wear barrier reduces changeout frequency in urostomy patients, improving convenience and reducing skin trauma.
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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.