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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


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.


  • 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.


  • 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.


  • 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

  1. Application: Clean the stoma site.
  2. Barrier Preparation: Measure and cut the skin barrier to fit the stoma.
  3. Attachment: Peel off the backing and apply the barrier around the stoma.
  4. Pouching: Attach the pouch securely to the barrier.
  5. 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.


  • Typical Duration: The application and adjustment process typically take about 15-30 minutes.


  • Location: Usually performed at home; initially taught by healthcare professionals in hospitals or outpatient clinics.


  • 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.


  • Expected Benefits: Secure waste collection, reduced skin irritation, improved odor management.
  • Realization Time: Immediate upon proper application.


  • 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.


  • 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.

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