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A4396 Peristomal hernia supprt blt

A Codes

Also known as: hernia belt, abdominal support belt

Peristomal hernia support belt, an abdominal support belt designed to provide external support and compression around stoma to reduce herniation risk.

In Plain Language

stoma support strap; hernia prevention belt

Clinical Context

Provides external reinforcement for patients with peristomal herniation or those at risk. Worn with or without pouches.

RVU Information

CPT A4396 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

SurgeryNursingOstomy

Frequently Asked Questions

What is CPT code A4396?

CPT A4396 (Peristomal hernia supprt blt) is a A Codes code. Peristomal hernia support belt, an abdominal support belt designed to provide external support and compression around stoma to reduce herniation risk.

Does Medicare cover A4396?

Medicare coverage for A4396 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Provides external reinforcement for patients with peristomal herniation or those at risk. Worn with or without pouches. A physician order is typically required.

When is CPT A4396 used?

Provides external reinforcement for patients with peristomal herniation or those at risk. Worn with or without pouches.

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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.