A4435 HCPCS Level II code: Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each
A4435 is the HCPCS code for “Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
A4435Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each
Short description: 1pc ost pch drain hgh output
HCPCS · United States
Medicare details
The indicators CMS publishes with A4435 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- 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, 2013
Where A4435 sits
- 1A codesAmbulance, supplies and miscellaneous
- 2Active code A4435Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, 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 A4435 mean?
A4435 is the HCPCS code for “Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover A4435?
CMS lists A4435’s Medicare coverage as “Carrier judgment” 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 A4435
All A codesA4429Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), eachA4430Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), eachA4431Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (1 piece), eachA4432Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), eachA4433Ostomy pouch, urinary; for use on barrier with locking flange (2 piece), eachA4434Ostomy pouch, urinary; for use on barrier with locking flange, with faucet-type tap with valve (2 piece), eachA4436Irrigation supply; sleeve, reusable, per monthA4437Irrigation supply; sleeve, disposable, per monthA4438Adhesive clip applied to the skin to secure external electrical nerve stimulator controller, eachA4450Tape, non-waterproof, per 18 square inchesA4452Tape, waterproof, per 18 square inchesA4453Rectal catheter with or without balloon, for use with any type transanal irrigation system, each