A4421 HCPCS - OSTOMY SUPPLY; MISCELLANEOUS

Code Information

HCPCS Code: A4421

Sequence Number: 0010

Short Description: Ostomy supply misc

Long Description: Ostomy supply; miscellaneous

Code Added Date: 1/1/1985

Action Code: P - Payment change (MOG, pricing indicator codes, anesthesia base units,Ambulatory Surgical Centers)

Action Effective Date: 1/1/2018

Classification: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental

Coding System: HCPCS

Code Type

Berenson-Eggers Type Of Service Code: D1F - Prosthetic/Orthotic devices
Type Of Service Code:
  • P - Lump sum purchase of DME, prosthetics, orthotics

Billing Information

Pricing Indicator Code:
  • 46 - Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)
Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:
    N/A
    Medicare Carriers Manual Reference Section Number:
      N/A
      Coverage Code: C - Carrier judgment

      HCPCS Record

      Field Name Field Value
      Healthcare Common Procedure Coding System Code A4421
      HCPCS Sequence Number 0010
      HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
      HCPCS Long Description Ostomy supply; miscellaneous
      HCPCS Short Description Ostomy supply misc
      HCPCS Pricing Indicator Code 1 46 - Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)
      HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
      HCPCS Coverage Code C - Carrier judgment
      HCPCS Berenson-Eggers Type Of Service Code D1F - Prosthetic/Orthotic devices
      HCPCS Type Of Service Code 1 P - Lump sum purchase of DME, prosthetics, orthotics
      HCPCS Anesthesia Base Unit Quantity 0
      HCPCS Code Added Date 1/1/1985
      HCPCS Action Effective Date 1/1/2018
      HCPCS Action Code P - Payment change (MOG, pricing indicator codes, anesthesia base units,Ambulatory Surgical Centers)

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      This page was last updated on: 1/1/2018