A4413 2 pc drainable ost pouch
Also known as: two piece pouch, separate pouch system
Two piece drainable ostomy pouch system.
In Plain Language
separated bag and base; changeable pouch
Clinical Context
Used for patients preferring modularity with separate barrier wafers and pouches. Allows pouch changes without barrier removal, reducing skin irritation and increasing convenience.
RVU Information
CPT A4413 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 A4413?
CPT A4413 (2 pc drainable ost pouch) is a A Codes code. Two piece drainable ostomy pouch system.
Does Medicare cover A4413?
Medicare coverage for A4413 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for patients preferring modularity with separate barrier wafers and pouches. Allows pouch changes without barrier removal, reducing skin irritation and increasing convenience. A physician order is typically required.
When is CPT A4413 used?
Used for patients preferring modularity with separate barrier wafers and pouches. Allows pouch changes without barrier removal, reducing skin irritation and increasing convenience.
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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.