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A4419 Ost pch for bar w flange/flt

A Codes

Also known as: barrier pouch flange, flanged system pouch

Ostomy pouch for skin barrier with flange and filter.

In Plain Language

pouch with attached base and flange; locking system

Clinical Context

Used with compatible skin barriers featuring flange systems. Provides secure attachment and easy pouch changes without barrier removal.

RVU Information

CPT A4419 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

General SurgeryColorectal SurgeryWound Care

Frequently Asked Questions

What is CPT code A4419?

CPT A4419 (Ost pch for bar w flange/flt) is a A Codes code. Ostomy pouch for skin barrier with flange and filter.

Does Medicare cover A4419?

Medicare coverage for A4419 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used with compatible skin barriers featuring flange systems. Provides secure attachment and easy pouch changes without barrier removal. A physician order is typically required.

When is CPT A4419 used?

Used with compatible skin barriers featuring flange systems. Provides secure attachment and easy pouch changes without barrier removal.

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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.