A4416 Ost pch clsd w barrier/filtr
Also known as: closed pouch with filter, sealed ostomy pouch
Ostomy pouch closed with integrated skin barrier and filter.
In Plain Language
sealed bathroom bag; closed disposable pouch
Clinical Context
Used for colostomy patients with formed or semi-formed stool. Closed system with built-in filter reduces odor and gas venting for discretion.
RVU Information
CPT A4416 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 A4416?
CPT A4416 (Ost pch clsd w barrier/filtr) is a A Codes code. Ostomy pouch closed with integrated skin barrier and filter.
Does Medicare cover A4416?
Medicare coverage for A4416 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for colostomy patients with formed or semi-formed stool. Closed system with built-in filter reduces odor and gas venting for discretion. A physician order is typically required.
When is CPT A4416 used?
Used for colostomy patients with formed or semi-formed stool. Closed system with built-in filter reduces odor and gas venting for discretion.
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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.