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See a sample rate comparisonHCPCS A4429 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 barrier attached, with built-in convexity, with faucet-type tap with valve (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 A4429 |
National average reimbursement for HCPCS A4429 by major payers:
$9.77
$6.09
$7.93
$9.82
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HCPCS A4429
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$21.45Published rateEmory Crawford Long Hospital
Emory University
$16.54Published rateHospital Authority Of Valdosta And Lowndes County Georgia, South Georgia Medical Center
Hospital Authority Of Valdosta And Lowndes County Georgia
$5.75Published rateNavicent Health Oconee, LLC, Navicent Health Baldwin
Navicent Health Oconee LLC
$5.36Published rateChristopher Raio
St Francis Hospital
$3.45Published rate
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See a sample payer proposalHCPCS A4429 vs. Other Ostomy Pouches and Supplies Codes
The HCPCS A4429 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 A4429 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 |
|---|---|---|
| A4428-HCPCS | Low | Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1-piece), each |
| A4429-HCPCS | Low | Ostomy pouch, urinary, with barrier attached, with built-in convexity, with faucet-type tap with valve (1-piece), each |
| A4430-HCPCS | Low | Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (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 A4429. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4429 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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