A4385 HCPCS Level II Code: Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each
HCPCS Level II code, maintained by CMS. Not a CPT code: CPT (HCPCS Level I) is a separate AMA code set that MedCoder does not publish. About HCPCS Level II
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Medicare Coverage & Payment
- CMS short descriptor: Ost skn barrier sld ext wear
Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.
Coding context
The comparisons, hierarchy, index entries, guidelines, relationships, risk-adjustment and coverage context a coder commonly needs. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.
Contextual Map
Every relationship of A4385 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Nearest codes (40)
- A4354 — Insertion tray with drainage bag but without catheter[Sibling]— CMS HCPCS Level II code set
- A4355 — Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each[Sibling]— CMS HCPCS Level II code set
- A4356 — External urethral clamp or compression device (not to be used for catheter clamp), each[Sibling]— CMS HCPCS Level II code set
- A4357 — Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each[Sibling]— CMS HCPCS Level II code set
- A4358 — Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each[Sibling]— CMS HCPCS Level II code set
- A4360 — Disposable external urethral clamp or compression device, with pad and/or pouch, each[Sibling]— CMS HCPCS Level II code set
- A4361 — Ostomy faceplate, each[Sibling]— CMS HCPCS Level II code set
- A4362 — Skin barrier; solid, 4 x 4 or equivalent; each[Sibling]— CMS HCPCS Level II code set
- and 32 more
Change history
- January 1, 2000 — Added to the code set [Change history]— CMS release files (code change ledger)
Deep reference
Published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, descriptors, coverage and pricing attributes Official source data
- CMS HCPCS Alpha-Numeric (ANWEB) release — October 2026 quarterly update Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS HCPCS quarterly update files, ingested into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder-derived relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder editorial explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 20, 2026 · All releases and sources
Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "A4385 — Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each." HCPCS Level II October 2026. https://medcoder.ai/hcpcs/code/a4385-ostomy-skin-barrier-solid-4-x-4-or-equivalent-extended
Change history
- January 1, 2000Added to the code setOstomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, eachHCPCS 2000 changes
Nearest Codes in This Family
Official HCPCS Level II classifications closest to A4385 in its code family, with their registry titles.
- A4380 — Ostomy pouch, urinary, with faceplate attached, rubber, each
- A4381 — Ostomy pouch, urinary, for use on faceplate, plastic, each
- A4382 — Ostomy pouch, urinary, for use on faceplate, heavy plastic, each
- A4383 — Ostomy pouch, urinary, for use on faceplate, rubber, each
- A4384 — Ostomy faceplate equivalent, silicone ring, each
- A4387 — Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each
- A4388 — Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each
- A4389 — Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each
- A4390 — Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each
- A4391 — Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each