A5061 Pouch drainable w barrier at
Also known as: drainable pouch, ileostomy pouch, drainable colostomy bag
A drainable (open-bottom) ostomy pouch with integral barrier/wafer for containment of liquid or pasty stool with drain capability.
In Plain Language
pouch you can open to empty; drainable bowel diversion bag
Clinical Context
Used by ileostomy or colostomy patients with frequent emptying needs. Bottom drain valve allows emptying without pouch removal.
RVU Information
CPT A5061 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 A5061?
CPT A5061 (Pouch drainable w barrier at) is a A Codes code. A drainable (open-bottom) ostomy pouch with integral barrier/wafer for containment of liquid or pasty stool with drain capability.
Does Medicare cover A5061?
Medicare coverage for A5061 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used by ileostomy or colostomy patients with frequent emptying needs. Bottom drain valve allows emptying without pouch removal. A physician order is typically required.
When is CPT A5061 used?
Used by ileostomy or colostomy patients with frequent emptying needs. Bottom drain valve allows emptying without pouch removal.
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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.