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A5051 Pouch clsd w barr attached

A Codes

Also known as: ostomy pouch, colostomy bag, ileostomy pouch

A one-piece closed ostomy pouch with an attached barrier (wafer/baseplate) and integral fecal deodorant. Waterproof and disposable after single use.

In Plain Language

bag that attaches to opening in belly; pouch for bowel diversion

Clinical Context

Used by patients with colostomy, ileostomy, or other bowel diversions. Adheres directly to skin via barrier. Changed when full or per patient preference.

RVU Information

CPT A5051 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

Colorectal SurgeryWound CareNursing

Frequently Asked Questions

What is CPT code A5051?

CPT A5051 (Pouch clsd w barr attached) is a A Codes code. A one-piece closed ostomy pouch with an attached barrier (wafer/baseplate) and integral fecal deodorant. Waterproof and disposable after single use.

Does Medicare cover A5051?

Medicare coverage for A5051 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used by patients with colostomy, ileostomy, or other bowel diversions. Adheres directly to skin via barrier. Changed when full or per patient preference. A physician order is typically required.

When is CPT A5051 used?

Used by patients with colostomy, ileostomy, or other bowel diversions. Adheres directly to skin via barrier. Changed when full or per patient preference.

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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.