A5054 Clsd ostomy pouch with flange
Also known as: ostomy pouch, colostomy bag, ileostomy pouch
A one-piece closed ostomy pouch with an integral flange that maintains consistent attachment to the skin barrier. Pre-sized and non-adjustable.
In Plain Language
pouch with molded rim attachment; ostomy bag with integrated flange
Clinical Context
Convenient one-piece system for patients with consistent stoma size. Flange provides stable, secure attachment without additional supplies.
RVU Information
CPT A5054 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 A5054?
CPT A5054 (Clsd ostomy pouch with flange) is a A Codes code. A one-piece closed ostomy pouch with an integral flange that maintains consistent attachment to the skin barrier. Pre-sized and non-adjustable.
Does Medicare cover A5054?
Medicare coverage for A5054 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Convenient one-piece system for patients with consistent stoma size. Flange provides stable, secure attachment without additional supplies. A physician order is typically required.
When is CPT A5054 used?
Convenient one-piece system for patients with consistent stoma size. Flange provides stable, secure attachment without additional supplies.
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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.