A4390 HCPCS Level II code: Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each
A4390 is the HCPCS code for “Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
A4390Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each
Short description: Drainable pch ex wear convex
HCPCS · United States
Medicare details
The indicators CMS publishes with A4390 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 A4390 sits
- 1A codesAmbulance, supplies and miscellaneous
- 2Active code A4390Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), 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 A4390 mean?
A4390 is the HCPCS code for “Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover A4390?
CMS lists A4390’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 A4390
All A codesA4383Ostomy pouch, urinary, for use on faceplate, rubber, eachA4384Ostomy faceplate equivalent, silicone ring, eachA4385Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, eachA4387Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), eachA4388Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), eachA4389Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), eachA4391Ostomy pouch, urinary, with extended wear barrier attached (1 piece), eachA4392Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), eachA4393Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), eachA4394Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounceA4395Ostomy deodorant for use in ostomy pouch, solid, per tabletA4396Ostomy belt with peristomal hernia support