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A4428 Urine ost pouch w faucet/tap

A Codes

Also known as: urine pouch with tap, urostomy drainage bag

Urostomy pouch with faucet or tap for controlled drainage.

In Plain Language

bladder pouch with spigot; urinary collection bag

Clinical Context

Used for urinary diversions (ileal conduit, continent pouch) allowing patient-controlled urine drainage. Tap design prevents accidental spillage and improves convenience.

RVU Information

CPT A4428 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

UrologyGeneral SurgeryColorectal Surgery

Frequently Asked Questions

What is CPT code A4428?

CPT A4428 (Urine ost pouch w faucet/tap) is a A Codes code. Urostomy pouch with faucet or tap for controlled drainage.

Does Medicare cover A4428?

Medicare coverage for A4428 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for urinary diversions (ileal conduit, continent pouch) allowing patient-controlled urine drainage. Tap design prevents accidental spillage and improves convenience. A physician order is typically required.

When is CPT A4428 used?

Used for urinary diversions (ileal conduit, continent pouch) allowing patient-controlled urine drainage. Tap design prevents accidental spillage and improves 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.