A5083 HCPCS code: Continent device, stoma absorptive cover for continent stoma
A5083 is the HCPCS Level II code for continent device, stoma absorptive cover for continent stoma. The 2026 Medicare DMEPOS fee schedule pays $0.92 to $1.07 depending on the state. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 5 per day on outpatient hospital claims. Its average fee ranks 1 of 17 A50 codes (family range $0.92–$15.72).
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 37 — DMEPOS: ostomy, tracheostomy and urological supplies |
| BETOS category | D1F — Prosthetic and orthotic devices |
| Added | 2008-01-01 |
| Last action effective | 2008-01-01 |
2026 Medicare DMEPOS fee schedule for A5083
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $0.92 | $1.07 | $0.92 | $0.78 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $0.92 | — |
| AL | — | $0.92 | — |
| AR | — | $0.92 | — |
| AZ | — | $0.92 | — |
| CA | — | $0.92 | — |
| CO | — | $0.92 | — |
| CT | — | $0.92 | — |
| DC | — | $0.92 | — |
| DE | — | $0.92 | — |
| FL | — | $0.92 | — |
| GA | — | $0.92 | — |
| HI | — | $0.92 | — |
| IA | — | $0.92 | — |
| ID | — | $0.92 | — |
| IL | — | $0.92 | — |
| IN | — | $0.92 | — |
| KS | — | $0.92 | — |
| KY | — | $0.92 | — |
| LA | — | $0.92 | — |
| MA | — | $0.92 | — |
| MD | — | $0.92 | — |
| ME | — | $0.92 | — |
| MI | — | $0.92 | — |
| MN | — | $0.92 | — |
| MO | — | $0.92 | — |
| MS | — | $0.92 | — |
| MT | — | $0.92 | — |
| NC | — | $0.92 | — |
| ND | — | $0.92 | — |
| NE | — | $0.92 | — |
| NH | — | $0.92 | — |
| NJ | — | $0.92 | — |
| NM | — | $0.92 | — |
| NV | — | $0.92 | — |
| NY | — | $0.92 | — |
| OH | — | $0.92 | — |
| OK | — | $0.92 | — |
| OR | — | $0.92 | — |
| PA | — | $0.92 | — |
| PR | — | $1.07 | — |
| RI | — | $0.92 | — |
| SC | — | $0.92 | — |
| SD | — | $0.92 | — |
| TN | — | $0.92 | — |
| TX | — | $0.92 | — |
| UT | — | $0.92 | — |
| VA | — | $0.92 | — |
| VI | — | $0.92 | — |
| VT | — | $0.92 | — |
| WA | — | $0.92 | — |
| WI | — | $0.92 | — |
| WV | — | $0.92 | — |
| WY | — | $0.92 | — |
How the A5083 fee compares
| Measure | Value |
|---|---|
| Rank among 17 A50 codes (lowest = 1) | 1 |
| Family fee range (average of state fees) | $0.92–$15.72 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 5 | Clinical: CMS Workgroup |
| practitioner claims | 5 | Clinical: CMS Workgroup |
What changed for A5083
- 2026-01-01: Average state fee rose 2.2%: $0.90 to $0.92
- 2008-01-01: A5083 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code A5083?
A5083 is the HCPCS Level II code for continent device, stoma absorptive cover for continent stoma. Short descriptor: "Stoma absorptive cover".
How much does Medicare pay for A5083?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $0.92–$1.07. Rural fees can be higher.
Does Medicare cover A5083?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for A5083 change in 2026?
The average non-rural state fee moved from $0.90 in 2025 to $0.92 in 2026 (+2.2%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of A5083 can be billed per day?
5 on outpatient hospital claims; 5 on practitioner claims (NCCI medically unlikely edits).
Related A50 codes
- A5051 — Ostomy pouch, closed; with barrier attached (1 piece), each ($2.94–$3.54)
- A5052 — Ostomy pouch, closed; without barrier attached (1 piece), each ($2.12–$2.57)
- A5053 — Ostomy pouch, closed; for use on faceplate, each ($1.75–$3.07)
- A5054 — Ostomy pouch, closed; for use on barrier with flange (2 piece), each ($2.56–$3.04)
- A5055 — Stoma cap ($1.74–$2.19)
- A5056 — Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each ($6.66–$7.29)
- A5057 — Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each ($13.68–$15.03)
- A5061 — Ostomy pouch, drainable; with barrier attached, (1 piece), each ($5.04–$6.03)
- A5062 — Ostomy pouch, drainable; without barrier attached (1 piece), each ($2.96–$3.34)
- A5063 — Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each ($3.86–$4.56)
- A5071 — Ostomy pouch, urinary; with barrier attached (1 piece), each ($8.57–$10.34)
- A5072 — Ostomy pouch, urinary; without barrier attached (1 piece), each ($4.28–$6.05)
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Next steps
- Run a reimbursement report for a device billed under A5083
- Watch A5083 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A5083
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule 2026; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.