A4363 HCPCS Level II code: Ostomy clamp, any type, replacement only, each
A4363 is the HCPCS code for “Ostomy clamp, any type, replacement only, each” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
A4363Ostomy clamp, any type, replacement only, each
Short description: Ostomy clamp, replacement
HCPCS · United States
Notes for A4363
As CMS prints them, with any note A4363 takes from the headings above it.
Note
- CMS processing note 0124: PUBLICATION 100.2, CHAPTER 15, SS 120.
Medicare details
The indicators CMS publishes with A4363 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Special coverage instructions apply
- Medicare pricing
- DMEPOS fee schedule – Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)
- Type of service
- Lump sum purchase of DME, prosthetics, orthotics
- BETOS category
- Prosthetic/Orthotic devices
- Added
- Jan 1, 2006
Where A4363 sits
- 1A codesAmbulance, supplies and miscellaneous
- 2Active code A4363Ostomy clamp, any type, replacement only, each
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code A4363 mean?
A4363 is the HCPCS code for “Ostomy clamp, any type, replacement only, each” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover A4363?
CMS lists A4363’s Medicare coverage as “Special coverage instructions apply” and its pricing as “DMEPOS fee schedule – Ostomy, tracheostomy and urological supplies (price subject to floors and ceilings)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside A4363
All A codesA4356External urethral clamp or compression device (not to be used for catheter clamp), eachA4357Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, eachA4358Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, eachA4360Disposable external urethral clamp or compression device, with pad and/or pouch, eachA4361Ostomy faceplate, eachA4362Skin barrier; solid, 4 x 4 or equivalent; eachA4364Adhesive, liquid or equal, any type, per ozA4366Ostomy vent, any type, eachA4367Ostomy belt, eachA4368Ostomy filter, any type, eachA4369Ostomy skin barrier, liquid (spray, brush, etc.), per ozA4371Ostomy skin barrier, powder, per oz