A4377 HCPCS Level II code: Ostomy pouch, drainable, for use on faceplate, plastic, each
A4377 is the HCPCS code for “Ostomy pouch, drainable, for use on faceplate, plastic, each” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
A4377Ostomy pouch, drainable, for use on faceplate, plastic, each
Short description: Drainable plstic pch w/o fp
HCPCS · United States
Medicare details
The indicators CMS publishes with A4377 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, 2000
Where A4377 sits
- 1A codesAmbulance, supplies and miscellaneous
- 2Active code A4377Ostomy pouch, drainable, for use on faceplate, plastic, 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 A4377 mean?
A4377 is the HCPCS code for “Ostomy pouch, drainable, for use on faceplate, plastic, each” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover A4377?
CMS lists A4377’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 A4377
All A codesA4369Ostomy skin barrier, liquid (spray, brush, etc.), per ozA4371Ostomy skin barrier, powder, per ozA4372Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear, with built-in convexity, eachA4373Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, eachA4375Ostomy pouch, drainable, with faceplate attached, plastic, eachA4376Ostomy pouch, drainable, with faceplate attached, rubber, eachA4378Ostomy pouch, drainable, for use on faceplate, rubber, eachA4379Ostomy pouch, urinary, with faceplate attached, plastic, eachA4380Ostomy pouch, urinary, with faceplate attached, rubber, eachA4381Ostomy pouch, urinary, for use on faceplate, plastic, eachA4382Ostomy pouch, urinary, for use on faceplate, heavy plastic, eachA4383Ostomy pouch, urinary, for use on faceplate, rubber, each