Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each
HCPCS code
Name of the Procedure:
Common name: Ostomy Pouch Change (2-piece system) Technical term: Ostomy pouch, drainable, high output, for use on a barrier with flange, with filter (HCPCS Code A4413)
Summary
This procedure involves attaching a two-piece ostomy pouch system to a stoma, which is an opening created surgically on the abdomen to divert waste from the bowel or urinary system. The two-piece system includes a drainable pouch with a filter that attaches to a barrier with a flange, allowing for better waste management.
Purpose
The procedure addresses the need to manage high-output waste for patients with an ostomy. The goals are to ensure a secure fit, prevent leakage, and provide a comfortable and functional way to collect bodily waste.
Indications
- Patients with high-output stomas (e.g., ileostomy, colostomy, or urostomy)
- Those experiencing frequent leakage or skin irritation with other pouching systems
- Need for effective odor management and drainage
Preparation
- Ensure the stoma area is clean and dry before application
- No special fasting or medication adjustments generally required
- Possible stoma assessment by a healthcare professional
Procedure Description
- Clean and dry the skin around the stoma.
- Measure the stoma and cut the barrier opening to fit.
- Remove the backing from the barrier and apply it around the stoma.
- Attach the drainable pouch to the flange on the barrier, ensuring a secure fit.
- Ensure the filter in the pouch is positioned correctly for optimal performance.
- Close the bottom of the drainable pouch.
Duration
Typically, it takes about 15-30 minutes to complete the procedure.
Setting
This procedure can be performed in various settings, including:
- Hospital
- Outpatient clinic
- At home by the patient or a caregiver
Personnel
Usually performed or supervised by:
- Ostomy care nurses
- Patients themselves, once trained
- Caregivers
Risks and Complications
- Skin irritation or damage around the stoma
- Leakage and odor issues
- Infection at the stoma site
Benefits
- Secure waste management
- Enhanced comfort and reduced skin irritation
- Improved quality of life and independence
Recovery
- Immediate use of the new pouching system post-procedure
- Regular monitoring and care of the stoma
- Follow-up appointments if complications arise
Alternatives
- One-piece ostomy pouching systems
- Alternative types and brands of two-piece systems
- Continuous monitoring to find the best fit and functionality
Patient Experience
- Minimal discomfort during the procedure
- Learning curve for new users; training provided by healthcare professionals
- Pain management typically not necessary; comfort measures include proper fit and skin care tips