A5061 HCPCS - OSTOMY POUCH, DRAINABLE; WITH BARRIER ATTACHED, (1 PIECE), EACH

Code Information

HCPCS Code: A5061
Sequence Number: 0010
Short Description: Pouch drainable w barrier at
Long Description: Ostomy pouch, drainable; with barrier attached, (1 piece), each
Date Added: 1/1/1990
Action Code: N - No maintenance for this code
Action Effective Date: 1/1/2003
Classification: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental
Coding System: HCPCS

Pricing Indicator Code:
- 37 - Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)
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

Field Name	Field Value
Healthcare Common Procedure Coding System Code	A5061
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 pouch, drainable; with barrier attached, (1 piece), each
HCPCS Short Description	Pouch drainable w barrier at
HCPCS Pricing Indicator Code 1	37 - Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)
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	1/1/1990
HCPCS Action Effective Date	1/1/2003
HCPCS Action Code	N - No maintenance for this code