A4408 – Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each
HCPCS Level II code · A codes: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental
HCPCS codeA4408
- Long description
- Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each
- Short description
- Ext wear ost skn barr >4sq"
- Pricing indicator
37Ostomy, tracheostomy and urological supplies- Medicare coverage
DSpecial coverage instructions apply- BETOS category
D1FProsthetic/Orthotic devices- Added
- January 1, 2003
- Last change
- January 1, 2003 – No change
Frequently asked questions
What is HCPCS code A4408?
A4408 is a HCPCS Level II code for ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each.
Does Medicare cover A4408?
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
- A4398 – Ostomy irrigation supply; bag, each
- A4399 – Ostomy irrigation supply; cone/catheter, with or without brush
- A4400 – Ostomy irrigation set
- A4402 – Lubricant, per ounce
- A4404 – Ostomy ring, each
- A4405 – Ostomy skin barrier, non-pectin based, paste, per ounce
- A4406 – Ostomy skin barrier, pectin-based, paste, per ounce
- A4407 – Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each
- A4409 – Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each
- A4410 – Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each
- A4411 – Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each
- A4412 – Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each
- A4413 – Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each
- A4414 – Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each
- A4415 – Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, larger than 4 x 4 inches, each
- A4416 – Ostomy pouch, closed, with barrier attached, with filter (1 piece), each
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.