A4379 – Ostomy pouch, urinary, with faceplate attached, plastic, each
HCPCS Level II code · A codes: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental
HCPCS codeA4379
- Long description
- Ostomy pouch, urinary, with faceplate attached, plastic, each
- Short description
- Urinary plastic pouch w fcpl
- Pricing indicator
37Ostomy, tracheostomy and urological supplies- Medicare coverage
DSpecial coverage instructions apply- BETOS category
D1FProsthetic/Orthotic devices- Added
- January 1, 2000
- Last change
- January 1, 2003 – No change
Frequently asked questions
What is HCPCS code A4379?
A4379 is a HCPCS Level II code for ostomy pouch, urinary, with faceplate attached, plastic, each.
Does Medicare cover A4379?
The HCPCS file lists coverage code D: Special coverage instructions apply. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby A codes
- A4369 – Ostomy skin barrier, liquid (spray, brush, etc.), per oz
- A4371 – Ostomy skin barrier, powder, per oz
- A4372 – Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, each
- A4373 – Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each
- A4375 – Ostomy pouch, drainable, with faceplate attached, plastic, each
- A4376 – Ostomy pouch, drainable, with faceplate attached, rubber, each
- A4377 – Ostomy pouch, drainable, for use on faceplate, plastic, each
- A4378 – Ostomy pouch, drainable, for use on faceplate, rubber, each
- A4380 – Ostomy pouch, urinary, with faceplate attached, rubber, each
- A4381 – Ostomy pouch, urinary, for use on faceplate, plastic, each
- A4382 – Ostomy pouch, urinary, for use on faceplate, heavy plastic, each
- A4383 – Ostomy pouch, urinary, for use on faceplate, rubber, each
- A4384 – Ostomy faceplate equivalent, silicone ring, each
- A4385 – Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each
- A4387 – Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each
- A4388 – Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.