A4412 Ost pouch drainage high output
Also known as: high output pouch, drainable high capacity
Ostomy pouch drainable with high output collection capacity.
In Plain Language
drainable bag for frequent emptying; high capacity collection
Clinical Context
Used for patients with high-volume output (ileostomies, jejunostomies) requiring frequent drainage or bulk collection. Indicated when standard pouches cannot contain fluid discharge.
RVU Information
CPT A4412 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 A4412?
CPT A4412 (Ost pouch drainage high output) is a A Codes code. Ostomy pouch drainable with high output collection capacity.
Does Medicare cover A4412?
Medicare coverage for A4412 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for patients with high-volume output (ileostomies, jejunostomies) requiring frequent drainage or bulk collection. Indicated when standard pouches cannot contain fluid discharge. A physician order is typically required.
When is CPT A4412 used?
Used for patients with high-volume output (ileostomies, jejunostomies) requiring frequent drainage or bulk collection. Indicated when standard pouches cannot contain fluid discharge.
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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.