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A5054 Clsd ostomy pouch with flange

A Codes

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

Colorectal SurgeryWound CareNursing

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.