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See a sample rate comparisonHCPCS A4392 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1-piece), each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Ostomy Pouches and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A4392 |
National average reimbursement for HCPCS A4392 by major payers:
$9.54
$6.03
$7.84
$13.47
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HCPCS A4392
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$20.88Published ratePhoebe Putney Memorial Hospital Inc, Phoebe Putney Memorial Hosptial
Phoebe Putney Memorial Hospital Inc
$9.61Published rateStephens County Anesthesia Services,LLC
Stephens County Anesthesia Servicesllc
$7.73Published rateTattnall Hospital Company, LLC, Optim Medical Center - Tattnall
$5.36Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$3.79Published rate
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See a sample payer proposalHCPCS A4392 vs. Other Ostomy Pouches and Supplies Codes
The HCPCS A4392 code is part of the Medical And Surgical Supplies services used for Ostomy Pouches and Supplies. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS A4392 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| A4391-HCPCS | Low | Ostomy pouch, urinary, with extended wear barrier attached (1-piece), each |
| A4392-HCPCS | Low | Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1-piece), each |
| A4393-HCPCS | Low | Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1-piece), each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4392. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4392 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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