A5055 HCPCS Level II code: Stoma cap
A5055 is the HCPCS code for “Stoma cap” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
A5055Stoma cap
HCPCS · United States
Medicare details
The indicators CMS publishes with A5055 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, 1990
Where A5055 sits
- 1A codesAmbulance, supplies and miscellaneous
- 2Active code A5055Stoma cap
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 A5055 mean?
A5055 is the HCPCS code for “Stoma cap” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover A5055?
CMS lists A5055’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 A5055
All A codesA4931Oral thermometer, reusable, any type, eachA4932Rectal thermometer, reusable, any type, eachA5051Ostomy pouch, closed; with barrier attached (1 piece), eachA5052Ostomy pouch, closed; without barrier attached (1 piece), eachA5053Ostomy pouch, closed; for use on faceplate, eachA5054Ostomy pouch, closed; for use on barrier with flange (2 piece), eachA5056Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), eachA5057Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), eachA5061Ostomy pouch, drainable; with barrier attached, (1 piece), eachA5062Ostomy pouch, drainable; without barrier attached (1 piece), eachA5063Ostomy pouch, drainable; for use on barrier with flange (2 piece system), eachA5071Ostomy pouch, urinary; with barrier attached (1 piece), each