Coverage of Ostomy Supplies

Ostomy supplies are covered under the Prosthetic Device benefit and are covered for a beneficiary with a surgically created opening (stoma) to divert urine or fecal contents outside the body. Ostomy supplies are appropriately used for colostomies, ileostomies, or urinary ostomies. Use for other conditions will be denied as noncovered. These guidelines are outlined in the Ostomy Supplies Policy Article (A52487).

Last Updated Nov 21 , 2024