A4435 – Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each
HCPCS Level II code · A codes: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental
HCPCS codeA4435
- Long description
- Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each
- Short description
- 1pc ost pch drain hgh output
- Pricing indicator
37Ostomy, tracheostomy and urological supplies- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
D1FProsthetic/Orthotic devices- Added
- January 1, 2013
- Last change
- January 1, 2013 – No change
Frequently asked questions
What is HCPCS code A4435?
A4435 is a HCPCS Level II code for ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each.
Does Medicare cover A4435?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby A codes
- 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
- A4431 – Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), each
- A4432 – Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each
- A4433 – Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), each
- A4434 – Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), each
- A4436 – Irrigation supply; sleeve, reusable, per month
- A4437 – Irrigation supply; sleeve, disposable, per month
- A4438 – Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, each
- A4450 – Tape, non-waterproof, per 18 square inches
- A4452 – Tape, waterproof, per 18 square inches
- A4453 – Rectal catheter with or without balloon, for use with any type transanal irrigation system, each
- A4455 – Adhesive remover or solvent (for tape, cement or other adhesive), per ounce
- A4456 – Adhesive remover, wipes, any type, each
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.