Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each
HCPCS code
Name of the Procedure:
- Common Names: Ostomy pouch, drainable ostomy bag
- Medical Term: HCPCS A5056
Summary
An ostomy pouch, specifically designed to be drainable with an extended wear barrier and a filter, is used by patients who have undergone a colostomy, ileostomy, or urostomy. This one-piece system is designed to securely collect waste from the stoma with minimal leakage and odor.
Purpose
- Medical Conditions: Used for patients with a colostomy, ileostomy, or urostomy due to conditions like colorectal cancer, Crohn's disease, or bladder cancer.
- Goals: To provide a secure and convenient way to collect waste from a stoma, reduce skin irritation, manage odor, and improve the quality of life.
Indications
- Specific Symptoms/Conditions: Presence of a stoma requiring waste collection.
- Patient Criteria: Patients who need reliable, long-term, and comfortable waste management solutions post-surgery.
Preparation
- Pre-procedure Instructions: No special preparation is needed.
- Diagnostic Tests/Assessments: Routine follow-up may include reviewing the stoma site and skin condition.
Procedure Description
- Application: Clean the stoma site.
- Barrier Preparation: Measure and cut the skin barrier to fit the stoma.
- Attachment: Peel off the backing and apply the barrier around the stoma.
- Pouching: Attach the pouch securely to the barrier.
- Adjustment: Ensure the pouch is comfortable and lies flat against the skin.
- Tools/Equipment: Ostomy pouch system (pouch with an attached barrier and filter), scissors, cleaning supplies.
- Anesthesia/Sedation: Not applicable.
Duration
- Typical Duration: The application and adjustment process typically take about 15-30 minutes.
Setting
- Location: Usually performed at home; initially taught by healthcare professionals in hospitals or outpatient clinics.
Personnel
- Healthcare Professionals: Ostomy nurse, general nurse, primary care physician (initial training); after training, the patient performs the application themselves.
Risks and Complications
- Common Risks: Skin irritation, leakage.
- Rare Risks: Infection at the stoma site.
- Management: Regular skin cleaning and barrier adjustment, consulting healthcare providers if issues arise.
Benefits
- Expected Benefits: Secure waste collection, reduced skin irritation, improved odor management.
- Realization Time: Immediate upon proper application.
Recovery
- Post-procedure Care: Regular cleaning and pouch changing as required (usually every 3-7 days).
- Restrictions: None specific; continue regular activities.
- Follow-up Appointments: Scheduled as necessary to monitor stoma health.
Alternatives
- Other Treatments: Two-piece ostomy systems, non-drainable pouches.
- Pros and Cons: Two-piece systems allow separate barrier and pouch changes but may require more frequent adjustments.
Patient Experience
- During the Procedure: Slight discomfort during the initial fitting.
- After the Procedure: Generally positive experience with reduced leaks and odor; pain management might not be necessary but comfort measures include using skin-friendly products to minimize irritation.