HCPCS Level II · Transportation, medical and surgical supplies
A5054Ostomy pouch, closed; for use on barrier with flange (2 piece), each
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Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.
About A5054
A5054 is an HCPCS Level II code in the A series (transportation, medical and surgical supplies), describing ostomy pouch, closed; for use on barrier with flange (2 piece), each.
It was added to HCPCS effective 01/01/1990, and its current record took effect 01/01/2003.
Its Medicare coverage code is "D", meaning special Medicare coverage instructions apply.
Details
- Short description
- Clsd ostomy pouch w/flange
- Date added
- 01/01/1990
- Action effective
- 01/01/2003
- BETOS
- D1F
Related A50xx codes
- A5051Ostomy pouch, closed; with barrier attached (1 piece), each
- A5052Ostomy pouch, closed; without barrier attached (1 piece), each
- A5053Ostomy pouch, closed; for use on faceplate, each
- A5055Stoma cap
- A5056Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each
- A5057Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each
- A5061Ostomy pouch, drainable; with barrier attached, (1 piece), each
- A5062Ostomy pouch, drainable; without barrier attached (1 piece), each
- A5063Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each
- A5071Ostomy pouch, urinary; with barrier attached (1 piece), each
- A5072Ostomy pouch, urinary; without barrier attached (1 piece), each
- A5073Ostomy pouch, urinary; for use on barrier with flange (2 piece), each
Common questions about A5054
Is HCPCS A5054 still valid?
- Yes. A5054 is active in the CMS October 2026 HCPCS file.
Does Medicare cover A5054?
- Its coverage code is "D": special Medicare coverage instructions apply. Check the local coverage determination for your region.