A5052 Clsd ostomy pouch without barr
Also known as: ostomy pouch, colostomy bag, ileostomy pouch
A one-piece closed ostomy pouch without integral barrier or faceplate, designed to adhere directly to intact skin around stoma.
In Plain Language
adhesive pouch for bowel opening; colostomy collection bag
Clinical Context
Used when patient has separate barrier/wafer already applied or has adequate skin integrity. Provides containment without additional barrier layer.
RVU Information
CPT A5052 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 A5052?
CPT A5052 (Clsd ostomy pouch without barr) is a A Codes code. A one-piece closed ostomy pouch without integral barrier or faceplate, designed to adhere directly to intact skin around stoma.
Does Medicare cover A5052?
Medicare coverage for A5052 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used when patient has separate barrier/wafer already applied or has adequate skin integrity. Provides containment without additional barrier layer. A physician order is typically required.
When is CPT A5052 used?
Used when patient has separate barrier/wafer already applied or has adequate skin integrity. Provides containment without additional barrier layer.
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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.