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A4405 Nonpectin based ostomy paste

A Codes +Add-on

Also known as: ostomy paste, stoma sealing paste

Nonpectin based ostomy paste, a paste product without pectin used to fill irregularities around stoma and improve skin barrier seal.

In Plain Language

skin filler paste; stoma seal paste

Clinical Context

Applied around stoma to fill gaps between skin and wafer. Improves seal integrity and prevents leakage.

RVU Information

CPT A4405 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

NursingOstomy

Frequently Asked Questions

What is CPT code A4405?

CPT A4405 (Nonpectin based ostomy paste) is a A Codes code. Nonpectin based ostomy paste, a paste product without pectin used to fill irregularities around stoma and improve skin barrier seal.

Does Medicare cover A4405?

Medicare coverage for A4405 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Applied around stoma to fill gaps between skin and wafer. Improves seal integrity and prevents leakage. A physician order is typically required.

When is CPT A4405 used?

Applied around stoma to fill gaps between skin and wafer. Improves seal integrity and prevents leakage.

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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.