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Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each

HCPCS code

Name of the Procedure:

Ostomy Pouch, Urinary, with Extended Wear Barrier Attached, with Built-In Convexity, with Faucet-Type Tap with Valve (1 piece) Common name(s): Urinary ostomy pouch, urostomy pouch with convexity and faucet-type tap
Technical/medical term: A4430


This procedure involves the use of a specialized urinary ostomy pouch designed to manage urine output for patients with urostomies. The pouch has an extended wear barrier, built-in convexity to ensure a proper fit, and a faucet-type tap with a valve for easier draining.


Medical Conditions/Problems Addressed
  • Urostomies due to bladder cancer, trauma, bladder dysfunction, or severe urinary incontinence.
Goals/Expected Outcomes
  • Secure and leak-proof urine collection.
  • Minimized skin irritation and infection.
  • Convenient and easy urine drainage management.


Specific Symptoms/Conditions
  • Patients with a urostomy needing a secure and durable urine collection system.
  • Frequent leakage or skin irritation with other types of pouches.
Patient Criteria
  • Individuals with a stoma requiring a convex fitting due to retracted or flush stoma.
  • Patients seeking an extended wear option due to high urine output or activity level.


Pre-Procedure Instructions
  • Clean and dry the stoma area thoroughly.
  • Ensure the skin is free from oils, soaps, or lotions that may affect the adhesive barrier.
  • Review the usage instructions provided by healthcare professionals or product manual.
Diagnostic Tests/Assessments
  • Occasional assessment by a stoma care nurse to ensure proper use and fit.

Procedure Description

Step-by-Step Explanation
  1. Clean the stoma area: Use water and mild soap, then dry completely.
  2. Prepare the pouch: Cut the opening of the pouch to fit the stoma size.
  3. Apply the pouch: Center the opening over the stoma and press the barrier onto the skin.
  4. Secure the convexity: Make sure the convex barrier fits snugly around the stoma.
  5. Drain urine: Use the faucet-type tap with valve for easy and hygienic urine drainage.
Tools/Equipment Used
  • One-piece urinary ostomy pouch with extended wear barrier and built-in convexity.
  • Faucet-type tap with valve for drainage.
Anesthesia/Sedation Details

Not required.


The procedure for applying and managing the ostomy pouch typically takes a few minutes.


This procedure is usually performed at the patient's home or in an outpatient clinic.


  • Ostomy Care Nurse or Specialist (for initial training and periodic assessment).

Risks and Complications

Common Risks
  • Skin irritation or breakdown around the stoma.
  • Leakage and odor issues.
Rare Risks
  • Urinary tract infections.
  • Allergic reactions to the adhesive barrier.


Expected Benefits
  • Enhanced security and confidence with a leak-proof system.
  • Reduced skin irritation due to the extended wear barrier.
  • Ease of draining urine with the faucet-type tap.
Realization Timeline

Benefits are immediate upon proper application of the pouch.


Post-Procedure Care
  • Regular cleaning and maintenance of the stoma and surrounding skin.
  • Monitor for any signs of infection or irritation.
  • Routine assessment by a healthcare provider.
Recovery Time
  • Continuous use with periodic replacement as advised (usually every few days to a week).
Restrictions/Follow-Up Appointments
  • No specific restrictions, but regular follow-ups with an ostomy nurse or healthcare provider may be necessary.


Other Treatment Options
  • Two-piece systems where the barrier and pouch are separate.
  • Flat barriers without convexity for those who do not require convex fittings.
Pros and Cons of Alternatives
  • Two-piece systems: Easier pouch changes but may require more frequent barrier changes.
  • Flat barriers: Suitable for patients without retracted stomas but may not provide the same secure fit.

Patient Experience

During the Procedure
  • Minimal discomfort during pouch application.
  • Adjustments may require patience and practice.
After the Procedure
  • Improved confidence in daily activities due to leak security.
  • Occasional skin care and monitoring.
Pain Management and Comfort Measures
  • Use of stoma powder or barrier rings to enhance comfort and fit.
  • Regular consultation with a stoma care nurse for personalized advice.

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