A5081 Stoma plug or seal, any type
Also known as: stoma plug, stoma seal, continent device
A plug or seal device placed over the stoma opening to maintain continence between emptying or between urinary diversions. Available in various designs and materials.
In Plain Language
plug for stoma opening; seal for bowel opening
Clinical Context
Used in patients with continent pouches or those desiring periods without external pouching. Maintains continence and allows skin to breathe.
RVU Information
CPT A5081 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 A5081?
CPT A5081 (Stoma plug or seal, any type) is a A Codes code. A plug or seal device placed over the stoma opening to maintain continence between emptying or between urinary diversions. Available in various designs and materials.
Does Medicare cover A5081?
Medicare coverage for A5081 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used in patients with continent pouches or those desiring periods without external pouching. Maintains continence and allows skin to breathe. A physician order is typically required.
When is CPT A5081 used?
Used in patients with continent pouches or those desiring periods without external pouching. Maintains continence and allows skin to breathe.
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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.