A4361 — Ostomy faceplate, each
A4361 is a HCPCS Level II code for ostomy faceplate, each. It belongs to the Transportation, Medical & Surgical Supplies, Administrative section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusP
Bundled or excluded. No RVUs and no payment: either bundled into another service or paid under a different provision of the Act.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
Medically Unlikely Edits — units per day
The most units of A4361 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- outpatient
- 1 unit MAI 3 — Date of Service Edit: Clinical · Clinical: Data
- DME supplier
- 2 units MAI 3 — Date of Service Edit: Clinical · Published Contractor Policy
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for A4361
- Long descriptor
- Ostomy faceplate, each
- Short descriptor
- Ostomy face plate
- Added
- January 1, 1985
- BETOS
- D1F
- Pricing indicator
- 37 — DMEPOS
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Ostomy, tracheostomy and urological supplies. Price subject to floors and ceilings.
Codes adjacent to A4361
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If A4361 is not quite right, the correct code is very often within a few positions of it.
- A4352Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each
- A4353Intermittent urinary catheter, with insertion supplies
- A4354Insertion tray with drainage bag but without catheter
- A4355Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter, each
- A4356External urethral clamp or compression device (not to be used for catheter clamp), each
- A4357Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each
- A4358Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each
- A4360Disposable external urethral clamp or compression device, with pad and/or pouch, each
- A4362Skin barrier; solid, 4 x 4 or equivalent; each
- A4363Ostomy clamp, any type, replacement only, each
- A4364Adhesive, liquid or equal, any type, per oz
- A4366Ostomy vent, any type, each
- A4367Ostomy belt, each
- A4368Ostomy filter, any type, each
- A4369Ostomy skin barrier, liquid (spray, brush, etc.), per oz
- A4371Ostomy skin barrier, powder, per oz
Questions about A4361
What is HCPCS code A4361?
A4361 is a HCPCS Level II code for ostomy faceplate, each. It sits in the Transportation, Medical & Surgical Supplies, Administrative section.
Does Medicare cover A4361?
The CMS HCPCS file marks A4361 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
How is A4361 paid under the physician fee schedule?
A4361 carries PFS status code P. Bundled or excluded. No RVUs and no payment: either bundled into another service or paid under a different provision of the Act.