A4422 – Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each
HCPCS Level II code · A codes: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental
HCPCS codeA4422
- Long description
- Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each
- Short description
- Ost pouch absorbent material
- 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 A4422?
A4422 is a HCPCS Level II code for ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each.
Does Medicare cover A4422?
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
- 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
- A4417 – Ostomy pouch, closed, with barrier attached, with built-in convexity, with filter (1 piece), each
- A4418 – Ostomy pouch, closed; without barrier attached, with filter (1 piece), each
- A4419 – Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each
- A4420 – Ostomy pouch, closed; for use on barrier with locking flange (2 piece), each
- A4421 – Ostomy supply; miscellaneous
- A4423 – Ostomy pouch, closed; for use on barrier with locking flange, with filter (2 piece), each
- A4424 – Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each
- A4425 – Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each
- A4426 – Ostomy pouch, drainable; for use on barrier with locking flange (2 piece system), each
- A4427 – Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each
- A4428 – Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each
- A4429 – Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each
- A4430 – Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.