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A4435 1pc ost pch drainage hgh output

A Codes

Also known as: one piece high output pouch, single piece drainable

One piece ostomy pouch drainable with high output capacity.

In Plain Language

single drainable bag with base; integrated drainage system

Clinical Context

Used for high-output ostomies when integrated barrier is preferred over two-piece systems. One-piece design simplifies management and reduces adhesive exposure.

RVU Information

CPT A4435 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 A4435?

CPT A4435 (1pc ost pch drainage hgh output) is a A Codes code. One piece ostomy pouch drainable with high output capacity.

Does Medicare cover A4435?

Medicare coverage for A4435 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for high-output ostomies when integrated barrier is preferred over two-piece systems. One-piece design simplifies management and reduces adhesive exposure. A physician order is typically required.

When is CPT A4435 used?

Used for high-output ostomies when integrated barrier is preferred over two-piece systems. One-piece design simplifies management and reduces adhesive exposure.

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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.