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A5072
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Procedure Codes
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HCPCS Level II
/
Transportation Services Including Ambulance, Medical and Surgical Supplies, Administrative, Miscellaneous and Investigational
/
A5051–A5514
A5072
Ostomy pouch, urinary; without barrier attached (1 piece), each
Back
A5051
Ostomy pouch, closed; with barrier attached (1 piece), each
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A5052
Ostomy pouch, closed; without barrier attached (1 piece), each
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A5053
Ostomy pouch, closed; for use on faceplate, each
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A5054
Ostomy pouch, closed; for use on barrier with flange (2 piece), each
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A5055
Stoma cap
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A5056
Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each
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A5057
Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each
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A5061
Ostomy pouch, drainable; with barrier attached, (1 piece), each
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A5062
Ostomy pouch, drainable; without barrier attached (1 piece), each
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A5063
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each
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A5071
Ostomy pouch, urinary; with barrier attached (1 piece), each
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A5072
Ostomy pouch, urinary; without barrier attached (1 piece), each
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A5073
Ostomy pouch, urinary; for use on barrier with flange (2 piece), each
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A5081
Stoma plug or seal, any type
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A5082
Continent device; catheter for continent stoma
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A5083
Continent device, stoma absorptive cover for continent stoma
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A5093
Ostomy accessory; convex insert
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A5102
Bedside drainage bottle with or without tubing, rigid or expandable, each
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A5105
Urinary suspensory with leg bag, with or without tube, each
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A5112
Urinary drainage bag, leg or abdomen, latex, with or without tube, with straps, each
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A5113
Leg strap; latex, replacement only, per set
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A5114
Leg strap; foam or fabric, replacement only, per set
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A5120
Skin barrier, wipes or swabs, each
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A5121
Skin barrier; solid, 6 x 6 or equivalent, each
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A5122
Skin barrier; solid, 8 x 8 or equivalent, each
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A5126
Adhesive or non-adhesive; disk or foam pad
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A5131
Appliance cleaner, incontinence and ostomy appliances, per 16 oz.
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A5200
Percutaneous catheter/tube anchoring device, adhesive skin attachment
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A5500
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe
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A5501
For diabetics only, fitting (including follow-up), custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe), per shoe
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A5503
For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom, per shoe
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A5504
For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s), per shoe
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A5505
For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar, per shoe
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A5506
For diabetics only, modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s), per shoe
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A5507
For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe
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A5508
For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe
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A5510
For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe
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A5512
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each
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A5513
For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each
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A5514
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each
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Procedure code
CODABLE
A5072
Ostomy pouch, urinary; without barrier attached (1 piece), each
Part
HCPCS Level II
A
Transportation Services Including Ambulance, Medical and Surgical Supplies, Administrative, Miscellaneous and Investigational
A5
A5051–A5514
Source
CMS — ICD-10-PCS FY2026, HCPCS Level II october 2026, Procedure Codes 2026.
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