Summary & Overview
HCPCS A4382: Urinary Ostomy Pouch for Faceplate, Heavy Plastic
HCPCS Level II code A4382 represents a heavy-plastic urinary ostomy pouch intended for use on a faceplate (flange). This durable medical equipment code is used to bill single-unit ostomy pouches provided to patients with a urinary stoma. The code matters nationally because ostomy supplies are essential, recurring consumable items that affect patient quality of life and ongoing outpatient supply costs across payer programs. Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the code’s clinical purpose and service setting, plus what to expect in benchmarking and policy context: coverage considerations for durable medical equipment, typical sites of service (home and outpatient supply), and common billing practices for unit-based ostomy supplies. The report notes any available national payment benchmarks and policy updates relevant to ostomy supplies where provided. Data not available in the input will be identified as such in detailed sections.
Billing Code Overview
HCPCS Level II code A4382 describes an ostomy pouch, urinary, for use on faceplate, heavy plastic, each. The service type is durable medical equipment supplying a urinary ostomy pouch designed to attach to a faceplate or flange. The typical site of service is outpatient or home use where a patient manages a urinary stoma, including durable medical equipment suppliers, outpatient clinics, and patient residence.
Clinical & Coding Specifications
Clinical Context
A patient with a urinary diversion using a urostomy faceplate presents for routine supply replacement. The patient is an adult with a continent or incontinent urinary stoma following cystectomy for bladder cancer or neurogenic bladder managed with an ileal conduit or continent cutaneous diversion. The clinician or ostomy nurse evaluates the faceplate site, measures the stoma, and selects a compatible ostomy pouching system. When the faceplate is intact but the pouching system requires replacement, a single-use A4382 ostomy pouch (urinary, for use on faceplate, heavy plastic) is supplied and applied. Typical workflow: ostomy nurse confirms diagnosis, documents stoma condition and measurements, verifies payer coverage and patient supplies, orders or dispenses the A4382 item, educates the patient or caregiver on application and disposal, and documents the supply use and quantity in the medical record. Typical site of service is outpatient clinics, home health visits, durable medical equipment suppliers, and inpatient bedside care when supplies are provided during hospitalization.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
NU | New equipment | Use when this A4382 pouch is the initial supply furnished for a new ostomy patient at the start of usage. |