A4431 Ost pch urine w barrier/tapv
Also known as: urine barrier pouch, urostomy barrier tap
Urostomy pouch with skin barrier and faucet valve.
In Plain Language
urinary bag with attached base; barrier urinary collection
Clinical Context
Used for urostomy with integrated skin protection. Barrier reduces need for separate wafer and tap allows controlled drainage.
RVU Information
CPT A4431 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 A4431?
CPT A4431 (Ost pch urine w barrier/tapv) is a A Codes code. Urostomy pouch with skin barrier and faucet valve.
Does Medicare cover A4431?
Medicare coverage for A4431 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for urostomy with integrated skin protection. Barrier reduces need for separate wafer and tap allows controlled drainage. A physician order is typically required.
When is CPT A4431 used?
Used for urostomy with integrated skin protection. Barrier reduces need for separate wafer and tap allows controlled drainage.
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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.