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Ostomy Care - OstoSolutions
Ostomy Care Ostomy Care General Information HCPCS Codes Disclaimer The reimbursement information provided herein is intended to provide general information concerning coding of Hollister products only. Hollister does not guarantee coverage or payment for any products. The ultimate responsibility for proper coding, satisfying reimbursement requirements, and obtaining reimbursement remains with the provider. Coding and coverage policies and guidelines are complex, can vary from one carrier or region to another, and are updated frequently. Providers should check with their local carriers or intermediaries often and should consult with counsel, a reimbursement specialist, and/or the DMECS website for any coding, coverage, reimbursement, or billing questions. HCPCS codes shown in this Product Catalog are current as of 1-6-12. Explanation of Third Party Code Reimbursement System (National Health Related Items Code) To facilitate reimbursement of Hollister products, some Third Party Payment Programs require the use of an eleven-digit reimbursement number. Every Hollister manufactured product can be identified by an eleven-digit number. In general, the first five numbers identify the manufacturer’s labeler code, and the last six numbers represent the product stock number. The labeler code for Hollister Incorporated is 08380. The labeler code for Hollister Wound Care LLC is 08567, and the labeler code for the Apogee product line is 08598. In order to utilize this coding system, follow these examples. To code a four-digit stock number: The Third Party Reimbursement Number for the Apogee 12 Fr Intermittent Catheter, Stock Number 1048 listed in the catalog on page 92, is: 08598-0010-48 08598 identifies Apogee. 0010-48 identifies the product Stock Number. To code a five-digit stock number: The Third Party Reimbursement Number for the New Image Drainable Pouch, Stock Number 18113 listed in the catalog on page 30, is: 08380-0181-13 08380 identifies Hollister Incorporated. 0181-13 identifies the product Stock Number. To code a six-digit stock number: The Third Party Reimbursement Number for the Restore Contact Layer Dressing with Triact Technology, Stock Number 509338 listed in the catalog on page 130, is: 08567-5093-38 08567 identifies Hollister Wound Care LLC. 5093-38 identifies the product Stock Number. Additionally, three products in the Hollister Wound Care line require an NDC number due to their Dimethicone-based nature. The labeler code for their OTC drug products is 42828. The three NDC numbers are listed below. NDC 42828-9977-02 42828-9978-03 42828-9979-01 2 Stock No. 529977 529978 529979 Description Restore Cleanser & Moisturizer, 7.5 oz Restore Cleanser & Moisturizer, 11.5 oz Restore Dimethicreme Skin Protectant, 4 oz Hollister Incorporated 1.888.740.8999 Latex Statement The specifications for the Hollister Continence Care products listed below include natural rubber latex as a component; our suppliers add natural rubber latex as part of the production process. If a Hollister product(s) found in this catalog is not listed below, the specification for that product(s) and packaging does not include natural rubber latex as a component, and our component suppliers do not add natural rubber as part of their production process. Current Stock Numbers: 1051 1067 1084 9106 9107 9108 9109 9206 9207 9208 9209 9834 § 9835 § B12R B14R B16R B12RB B14RB B16RB 9807 * 9808 * 9809 * 9813 ‡ 9816 † 9817 † 9818 † 9824 ‡ 9825 ‡ 9826 * 9827 * 9828 * Discontinued Stock Numbers: 9606 * 9607 * 9608 * 9609 * 9626 * 9627 * 9628 * 9629 * 9636 † 9637 † 9638 † 9639 † 9656 † 9657 † 9658 † 9659 † 9803 ‡ 9806 * 9829 * 9897 † 9898 † How to Use The Hollister Products Catalog Hollister has created this simplified Product Catalog to help our customers find what they need in a quick and efficient manner. If you... know the stock number (or stock series number) Go to the numeric index at the back of the catalog on pages 162–163 to find the page number where it appears. If you... know the product brand or series name Go to the Table of Contents on pages 9-10, 86, 106, 114 and 120 to find the page number where it appears or reference the Product Name Index on pages 164–166. If you... know the HCPCS code Go to the HCPCS Code Index at the back of the catalog on page 167. † Product Discontinued as of July 2007 ‡ Product Discontinued as of January 2009 * Product Discontinued as of September 2009 § As of February 2009, this product has been redesigned to exclude natural rubber latex either as a component or from the production process. The packaging/insert of the new non-latex version of the product will not contain a latex statement. Please verify the latex status of the individual product prior to use by reviewing the packaging and product insert for a latex statement. A latex statement indicates the product is from the previous latex version. www.hollister.com Hollister Incorporated 3 Table of Contents • Ostomy Care Contents Quick Reference for Product Selection..........................................11–16 New Image Two-Piece Pouching System Skin Barriers.....................11 New Image Two-Piece Pouching System Pouches...........................12 New Image Two-Piece Pouching System Single-Use Kits.................13 Premier One-Piece Pouching System.........................................14–16 Premier One-Piece Pouching System Single-Use Kits.......................16 Medicare Utilization Chart.............................................................17–20 New Image Two-Piece Pouching System....................................25–35 Flat Skin Barriers with Integrated Floating Flanges.......................25–27 Convex Skin Barriers with Integrated Floating Flanges..................28–29 Drainable Pouches......................................................................30–31 High Output Drainable Pouches.........................................................32 Closed Pouches..........................................................................32–33 Irrigator Sleeve.................................................................................33 Urostomy Pouches............................................................................33 Non Sterile Kits — Drainable............................................................34 Non Sterile Kits — Urostomy............................................................34 Sterile Kits — Drainable...................................................................35 Sterile Kits — Urostomy...................................................................35 Premier One-Piece Pouching System...........................................41–53 Drainable Pouches with Flat Barriers...........................................41–46 Drainable Pouches with Convex Barriers......................................46–47 High Output Drainable Pouches.........................................................48 Hollister Universal Catheter Access Port............................................49 Wound Drainage Collectors...............................................................49 Closed Pouches..........................................................................50–51 Stoma Cap.......................................................................................51 Urostomy Pouches with Flat Barriers.................................................51 Urostomy Pouches with Convex Barriers............................................52 Non Sterile Kits — Drainable......................................................52–53 Non Sterile Kits — Urostomy............................................................53 Secure Start services are here for your patients every step of the way. Learn more on page 145 www.hollister.com Hollister Incorporated 9 Pouchkins Pediatric Pouching System...............................................59 Premie Pouch...................................................................................59 Newborn Pouch................................................................................59 One-Piece Pouches....................................................................59–60 Two-Piece Skin Barrier.....................................................................60 Two-Piece Pouches....................................................................60–61 Pediatric Ostomy Belt.......................................................................61 Ostomy Accessories.....................................................................67–71 Adapt Skin Barrier Accessories........................................................67 Adapt Skin Barrier Paste..................................................................67 Adapt Stoma Powder.......................................................................67 Adapt Odor Eliminator and Lubricant................................................67 Adapt Ostomy Belts.........................................................................68 Skin Barrier......................................................................................68 Skin Prepping Product......................................................................68 Adhesives and Removers..................................................................68 Odor Eliminators...............................................................................69 Cleaner/Decrystallizer.......................................................................69 Drainable Pouch Clamp....................................................................69 Urostomy Drain Tube Adapter...........................................................69 Skin Care Products.....................................................................69–70 Irrigation Products............................................................................70 Loop Ostomy Bridge.........................................................................70 Replacement Filters..........................................................................71 Bedside Drainage Collection System with Anti-Reflux Valve................71 Skin Barrier Pastes and Powders......................................................71 Skin Barriers....................................................................................71 CenterPointLock Two-Piece Pouching System............................72–76 Flat Skin Barriers with Floating Flanges.......................................72–73 Convex Skin Barriers with Floating Flanges..................................73–74 Drainable Pouches......................................................................74–75 Closed Pouches................................................................................75 Urostomy Pouches......................................................................75–76 Stoma Cap.......................................................................................76 Irrigator Sleeve.................................................................................76 Karaya 5 One-Piece Pouching System.........................................77–79 Drainable Pouches......................................................................77–78 Closed Pouches................................................................................78 Urostomy Pouches............................................................................78 Other One-Piece Pouching System.....................................................79 Closed Pouches................................................................................79 Stoma Cap.......................................................................................79 Glossary • Ostomy..............................................................................80 10 Hollister Incorporated 1.888.740.8999 Quick Reference for Product Selection New Image Two-Piece Flat Skin Barriers with Integrated Floating Flanges (see pages 25 – 27) New Image Flat Barriers Cut-to-Fit Flextend A4409 Pre-Sized Cut-to-Fit FlexWear A4414 Pre-Sized FormaFlex A4409 Shapeto-Fit With Tape Without Tape 1-3/4" (44 mm) 14602 With Tape 14604 up to 1-3/4" (44 mm) 15602 up to 2-1/4" (57 mm) 15603 up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) 1470x 14707 14708 16107 16108 14202 — — — — — 14709 14203 14204 up to 1-3/4" (44 mm) 15202 up to 2-1/4" (57 mm) 15203 up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) 1430x 14307 14308 16407 16408 15204 (A4415) — — — — — 14104 — 14309 1-3/8" (35 mm) 1-1/2" (38 mm) 14102 14103 up to 1-1/4" (32 mm) 14206 (A4415) up to 3-1/2" (89 mm) up to 2-1/4" (57 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 1640x 14606 (A4410) up to 3-1/2" (89 mm) 15604 (A4410) 1-3/8" (35 mm) 1-1/2" (38 mm) up to 1-1/4" (32 mm) 4" (102 mm) up to 2-1/4" (57 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 1610x With Tape Without Tape 2-3/4" (70 mm) 14603 up to 1-1/4" (32 mm) With Tape Without Tape With Tape Without Tape 2-1/4" (57 mm) up to 1-11/16" (43 mm) up to 2-1/4" (57 mm) New Image Two-Piece Convex Skin Barriers with Integrated Floating Flange (see pages 28 – 29) New Image Convex Barriers Cut-to-Fit Flextend A4407 1-3/4" (44 mm) With Tape up to 1" (25 mm) Without Tape up to 1" (25 mm) With Tape Pre-Sized 14802 14901 5/8" (16 mm) 14902 3/4" (19 mm) FlexWear A4373 Pre-Sized 14903 14904 15905 15906 1" (25 mm) 15402 7/8" (22 mm) 15503 14906 15904 up to 1" (25 mm) Without Tape 14905 15903 Without Tape 14503 15804 (A4408) 1-1/4" (32 mm) 14402 7/8" (22 mm) 15803 up to 1-1/2" (38 mm) 1-1/8" (29 mm) up to 1" (25 mm) With Tape up to 2" (51 mm) 1" (25 mm) With Tape 14804 up to 1-1/2" (38 mm) 7/8" (22 mm) 7/8" (22 mm) 2-3/4" (70 mm) 14803 15802 Without Tape Cut-to-Fit 2-1/4" (57 mm) 14504 1" (25 mm) 15504 1" (25 mm) 1-1/8" (29 mm) 14907 1-3/8" (35 mm) up to 2" (51 mm) 14908 1-1/2" (38 mm) 14403 up to 1-1/2" (38 mm) 15403 up to 1-1/2" (38 mm) 14505 15505 1-1/8" (29 mm) 1-5/8" (41 mm) 14910 1-3/4" (44 mm) 14911 2" (51 mm) — 1-1/4" (32 mm) 1-1/8" (29 mm) 14909 14506 1-1/4" (32 mm) 15506 1-1/4" (32 mm) 14404 up to 2" (51 mm) 15404 up to 2" (51 mm) — — convex product www.hollister.com Hollister Incorporated 11 Quick Reference for Product Selection New Image Two-Piece Drainable Pouches (see pages 30 – 32) New Image Drainable Pouches Filter A4425 Lock ’n Roll No Filter A5063 Filter A4425 Pouch Clamp No Filter A5063 High Output With Soft Tap 2-1/4" (57 mm) 2-3/4" (70 mm) 4" (102 mm) Transparent 18192 18292 18193 18293 18194 18294 — Beige 18182 18282 18183 18283 18184 18284 — Transparent 18132 18133 18134 — Ultra-Clear 18002 18003 18004 18006 Beige 18112 18113 18114 — Transparent 18162 18163 18164 — Beige 18142 18143 18144 — Transparent 18102 18103 18104 — Ultra-Clear 18172 18173 18174 18176 Beige No Filter A4412 1-3/4" (44 mm) Ultra-Clear 18122 18202 18012 18123 18203 18013 18124 18204 — 18014 18016 New Image Two-Piece Closed Pouches (see pages 32 – 33) New Image Closed Pouches 1-3/4" (44 mm) 2-1/4" (57 mm) Transparent 18362 18363 18364 Beige 18372 18373 18374 Filter QuietWear A4419 Beige 18322 18323 18324 No Filter QuietWear A5054 Beige Filter A4419 9" (23 cm) 7" (18 cm) 12 Filter A4419 18332 (box of 60) 18732 (box of 30) 18333 (box of 60) 18733 (box of 30) 2-3/4" (70 mm) 18334 (box of 60) 18734 (box of 30) Transparent 18382 18383 18384 Beige 18392 18393 18394 No Filter A5054 Hollister Incorporated Beige 18352 (box of 60) 1.888.740.8999 18752 (box of 30) 18353 (box of 60) 18753 (box of 30) 18354 (box of 60) 18754 (box of 30) Quick Reference for Product Selection New Image Two-Piece Urostomy Pouches and Single Use Kits (see pages 33 – 35) New Image Urostomy Pouches 9" (23 cm) A4432 1-3/4" (44 mm) Drainable, No Filter, FlexWear, With Tape A5063 + A4414 Urostomy, Flextend, With Tape A4432 + A4409 Pouch lamp C 2-3/4" (70 mm) Transparent 18402 18403 18404 Ultra-Clear 18422 18423 18424 Beige 18412 18413 18414 New Image Single-Use Kits Lock ’n Roll 2-1/4" (57 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) 4" (102 mm) Non Sterile Ultra-Clear 19002 19003 19004 19006 (A5063 + A4415) Sterile Ultra-Clear 19052 19053 19054 19056 (A5063 + A4415) Non Sterile Ultra-Clear 19102 19103 19104 19106 (A5063 + A4415) Sterile Ultra-Clear 19152 19153 19154 19156 (A5063 + A4415) Non Sterile Ultra-Clear 19202 19203 19204 — Sterile Ultra-Clear 19252 19253 19254 — — www.hollister.com Hollister Incorporated 13 Quick Reference for Product Selection Premier One-Piece Drainable Pouches with Flat Barriers (see pages 41– 46) Premier Pouches Drainable with Flat Barriers Flextend, Filter, With Tape A5056 Lock ’n Roll Lock ’n Roll Flextend, No Filter, With Tape A4388 12" (30 cm) 12" (30 cm) 9" (23 cm) Pouch Clamp 12" (30 cm) FlexWear, Filter, With Tape A4424 FlexWear, No Filter, With Tape A5061 Cut-to-Fit Pre-Sized up to 2-1/2" (64 mm) 3/4" 1" 1-3/16" 1-1/4" 1-3/8" 1-1/2" 1-9/16" 1-3/4" 2" 2-1/2" (19 mm) (25 mm) (30 mm) (32 mm) (35 mm) (38 mm) (40 mm) (44 mm) (51 mm) (64 mm) Transparent 8331 — — — — — — — — — — Transparent — — 8532 — 8538 — 8533 — 8539 — — Ultra-Clear 8531 — — — — — — — — — — Beige 8551 — 8552 — 8558 — 8553 — 8559 — — Transparent 8641 — — — — — — — — — — Beige — 8647 8642 — 8648 — 8643 — 8649 8644 — Transparent 8631 8637 8632 — 8638 — 8633 — 8639 8634 8635 Ultra-Clear 8651 — — — — — — — — — — Transparent 8081 — 8025 8030 — 8035 — 8040 — — — Beige 8181 — 8125 8130 — 8135 — 8140 — — — Lock ’n Roll 12" (30 cm) Lock ’n Roll 12" (30 cm) Ultra-Clear 8031 — — — — — — — — — — Pouch lamp C 12" (30 cm) Ultra-Clear 8131 — — — — — — — — — — Transparent 88800* — — — — — — — — — — Beige 88700* — 88725 88730 — 88735 — 88740 — — — — 88425 88430 — 88435 — 88440 — — — SoftFlex, Filter, Lock ’n Without Tape Roll A4424 Lock ’n SoftFlex, Roll No Filter, Without Tape Pouch A5061 Clamp 7" (18 cm) 12" (30 cm) Transparent 88400*, 88402** Beige 88300*, 88302** — 88325 88330 — 88335 — 88340 — — — 12" (30 cm) Ultra-Clear 88401 — — — — — — — — — — 12" (30 cm) Ultra-Clear 88501 — — — — — — — — — — *Cut-to-fit up to 2-1/8" (55 mm) **Oval cut-to-fit 3 x 2.5" (75 mm x 65 mm) 14 Hollister Incorporated 1.888.740.8999 Quick Reference for Product Selection Premier One-Piece Drainable Pouches with Convex Barriers (see pages 46 – 47) Premier Pouches Drainable with Convex Barriers Lock Flextend, ’n Roll No Filter, With Tape A4390 Pouch Clamp 12" (30 cm) Flextend, With Filter, Lock With Tape ’n Roll A5057 convex product Cut-to-Fit Pre-Sized up to 1" up to 1-1/2" up to 2" 3/4" 7/8" 1" 1-1/8" 1-1/4" 1-3/8" 1-1/2" 1-5/8" 1-3/4" 2" (25 mm) (38 mm) (51 mm) (19 mm) (22 mm) (25 mm) (29 mm) (32 mm) (35 mm) (38 mm) (41 mm) (44 mm) (51 mm) Transparent 8584 8588 85811 Transparent 8524 8528 8504 Transparent 8624 Beige — — — — — — — — 85211 8510 8511 8512 8513 8514 8515 85116 8508 85011 8590 8591 8592 8593 8594 8595 8596 8597 — 8599 8628 86211 8610 8611 8612 8613 8614 8615 8616 8617 8618 8619 — — — 85118 85119 Premier High Output Drainable Pouches (see page 48) Premier Pouches High Output Drainable with Flat Barriers Flextend, No Filter, Without Tape A6154 With Soft Tap Cut-to-Fit up to 2-3/4" (70 mm) up to 4-1/3" (110 mm) Non Sterile 80070 80110 Sterile 81070 81110 12" (30 cm) Premier One-Piece Closed Pouches (see pages 50 – 51) Cut-to-Fit Premier Closed Pouches 9" (23 cm) SoftFlex, Filter, Without Tape A4416 Pre-Sized up to 2-1/8" (55 mm) 1" (25 mm) 1-3/16" (30 mm) 1-3/8" (35 mm) Transparent 82400, 82402* — — — Beige 82300, 82302* 82325 82330 82335 Transparent 82500 — — — Beige 82100 82125 82130 82135 7" (18 cm) *Oval cut-to-fit 3 x 2.5" (75 mm x 65 mm) www.hollister.com Hollister Incorporated 15 Quick Reference for Product Selection Premier One-Piece Urostomy Pouches (see pages 51– 52) FlatA4428 A4428 Flat Premier Urostomy Pouches Convex A4430 Convex Flextend Cut-to-Fit Pre-Sized up to 1" up to 1-1/2" up to 2" up to 2-1/2" 1/2" 5/8" 3/4" 7/8" 1" 1-1/8" 1-1/4" 1-3/8" 1-1/2" 1-3/4" 2" (25 mm) (38 mm) (51 mm) (64 mm) (13 mm) (15 mm) (19 mm) (22 mm) (25 mm) (29 mm) (32 mm) (35 mm) (38 mm) (44 mm) (51 mm) Transparent — — — 8460 — — 8467 — 8462 — 8468 — Ultra-Clear — — — 8450 — — — — — — — — Beige — — — 8440 — — 8447 — 8442 — 8448 — 8478 84711 — 8480 8481 8482 8483 8484 8485 8486 8487 8488 8489 — 8438 84311 — 8490 8491 8492 8493 8494 8495 8496 8497 8498 8499 — Transparent 8474 Beige 8434 8463 8469 8464 — — — 8443 8449 8444 convex product Premier Single Use Kits (see pages 52– 53) Premier Single-Use Kits—Non Sterile Drainable (SoftFlex) A5061 Drainable (Flextend) A4388 Urostomy (Flextend) A4428 16 up to 2-1/2" (64 mm) Lock ’n Roll Without Tape Ultra-Clear 89001 Pouch Clamp Without Tape Ultra-Clear 89002 Lock ’n Roll With Tape Ultra-Clear 89004 Pouch Clamp With Tape Ultra-Clear 89003 Ultra-Clear 89005 With Tape Hollister Incorporated 1.888.740.8999 Medicare Utilization Chart Medicare’s Usual Maximum Quantity for Ostomy Supplies The quantity of ostomy supplies needed by a patient is determined primarily by the type of ostomy, its location, its construction, and the condition of the skin surface surrounding the stoma. There will be variation according to individual patient need and their needs may vary over time. The table below lists the maximum number of items/units of service that are usually medically necessary. The actual quantity needed for a particular patient may be more or less than the amount listed depending on the factors that affect the frequency of barrier and pouch change. The medical necessity for use of a greater quantity of supplies than the amounts listed must be clearly documented in the patient’s medical record, and must be available upon request. If adequate documentation is not provided when requested, the excess quantities will be denied as not medically necessary. Per LCD for Ostomy Supplies (L11502), NHIC effective 1-1-2011. New Ostomy Codes added effective 1-1-2012. HCPCS Long Description Quantity ✳ A4331Extension drainage tubing, any type, any length, with connector/adapter, for use with urinary leg bag or urostomy pouch, each A4357Bedside drainage bag, day or night, with or without 2 ea /mo anti-reflux device, with or without tube, each A4361 Ostomy faceplate, each 3 ea/6 mo A4362 Skin barrier, solid, 4 x 4 or equivalent, each 20 ea/mo ✳ A4363 Ostomy clamp, any type, replacement only, each A4364 Adhesive, liquid or equal, any type, per ounce 4 oz/mo ✳ A4366 Ostomy vent, any type, each A4367 Ostomy belt, each 1 ea/mo ✳ A4368 Ostomy filter, any type, each A4369 Ostomy skin barrier, liquid (spray, brush, etc.), per ounce 2 oz/mo A4371 Ostomy skin barrier, powder, per ounce 10 oz/6 mo ✳ A4372 Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear with built-in convexity, each ✳ A4373 Ostomy skin barrier, with flange (solid, flexible, or accordion), with built-in convexity, any size, each ✳ A4375 Ostomy pouch, drainable, with faceplate attached, plastic, each ✳ A4376 Ostomy pouch, drainable, with faceplate attached, rubber, each A4377 Ostomy pouch drainable for use on faceplate, 10 ea/mo plastic, each ✳ A4378 Ostomy pouch, drainable, for use on faceplate, rubber, each ✳ A4379 Ostomy pouch, urinary, with faceplate attached, plastic, each ✳ A4380 Ostomy pouch, urinary, with faceplate attached, rubber, each A4381 Ostomy pouch, urinary, for use with faceplate, plastic, each 10 ea/mo ✳ A4382 Ostomy pouch, urinary, for use on faceplate, heavy plastic, each ✳ A4383 Ostomy pouch, urinary, for use on faceplate, rubber, each ✳ A4384 Ostomy faceplate equivalent, silicone ring, each ✳ A4385 Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each ✳ A4387 Ostomy pouch, closed, with barrier attached, with built-in convexity (1 piece), each ✳ A4388 Ostomy pouch, drainable, with extended wear barrier attached, (1 piece), each ✳ A4389 Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each ✳ No established usual maximum, refer to Medicare Utilization Guidelines. www.hollister.com Hollister Incorporated 17 Medicare Utilization Chart HCPCS Long Description Quantity ✳ A4390 Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity (1 piece), each ✳ A4391 Ostomy pouch, urinary, with extended wear barrier attached (1 piece), each ✳ A4392 Ostomy pouch, urinary, with standard wear barrier attached, with built-in convexity (1 piece), each ✳ A4393 Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each ✳ A4394 Ostomy deodorant, with or without lubricant, for use in ostomy pouch, liquid, per fluid ounce ✳ A4395 Ostomy deodorant for use in ostomy pouch, solid, per tablet ✳ A4396 Ostomy belt with peristomal hernia support A4397 Irrigation supply, sleeve, each 4 ea/mo A4398 Ostomy irrigation supply, bag, each 2 ea/6 mo A4399 Ostomy irrigation supply, cone/catheter, with or without brush 2 ea/6 mo A4402 Lubricant, per ounce 4 oz/mo A4404 Ostomy ring, each 10 ea/mo A4405 Ostomy skin barrier, non-pectin based, paste, per ounce 4 oz/mo A4406 Ostomy skin barrier, pectin-based, paste, per ounce 4 oz/mo ✳ A4407 Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each ✳ A4408 Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each ✳ A4409 Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each ✳ A4410 Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each A4411 Ostomy skin barrier, solid 4 x 4 or equivalent, extended ✳ wear, with built-in convexity, each A4412 Ostomy pouch, drainable, high output, for use on a ✳ barrier with flange (2 piece system), without filter, each ✳ A4413Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each A4414Ostomy skin barrier, with flange (solid, flexible, or 20 ea/mo accordion), without built-in convexity, 4 x 4 inches or smaller, each A4415Ostomy skin barrier, with flange (solid, flexible, or 20 ea/mo accordion), without built-in convexity, larger than 4 x 4 inches, each A4416Ostomy pouch, closed, with barrier attached, with filter 60 ea/mo (1 piece), each A4417 Ostomy pouch, closed, with barrier attached, with 60 ea/mo built-in convexity, with filter (1 piece), each A4418 Ostomy pouch, closed, without barrier attached, with 60 ea/mo filter (1 piece), each A4419 Ostomy pouch, closed, for use on barrier with 60 ea/mo non-locking flange, with filter (2 piece), each A4420 Ostomy pouch, closed, for use on barrier with locking 60 ea/mo flange (2 piece), each ✳ A4421 Ostomy supply; miscellaneous ✳ A4422 Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output, each ✳ No 18 established usual maximum, refer to Medicare Utilization Guidelines. Hollister Incorporated 1.888.740.8999 HCPCS Long Description Quantity A4423 Ostomy pouch, closed, for use on barrier with locking 60 ea/mo flange, with filter (2 piece), each A4424 Ostomy pouch, drainable, with barrier attached, with filter 20 ea/mo (1 piece), each A4425 Ostomy pouch, drainable, for use on barrier with 20 ea/mo non-locking flange, with filter (2 piece system), each A4426 Ostomy pouch, drainable, for use on barrier with 20 ea/mo locking flange (2 piece system), each A4427 Ostomy pouch, drainable, for use on barrier with 20 ea/mo locking flange, with filter (2 piece system) each ✳ A4428Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each A4429Ostomy pouch, urinary, with barrier attached, with built-in 20 ea/mo convexity, with faucet-type tap with valve (1 piece), each ✳ A4430Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), each A4431Ostomy pouch, urinary, with barrier attached, with 20 ea/mo faucet-type tap, with valve (1 piece), each A4432Ostomy pouch, urinary, for use on barrier with 20 ea/mo non-locking flange, with faucet-type tap with valve (2 piece), each A4433Ostomy pouch, urinary, for use on barrier with 20 ea/mo locking flange (2 piece), each A4434Ostomy pouch, urinary, for use on barrier with 20 ea/mo locking flange, with faucet-type tap with valve (2 piece), each A4450 Tape, non-waterproof, per 18 square inches 40 ea (18 sq in)/mo A4452 Tape, waterproof, per 18 square inches 40 ea (18 sq in)/mo A4455Adhesive remover or solvent (for tape, cement, or other 16 oz/6 mo adhesive), per ounce ✳ A4456 Adhesive remover, wipes, any type, each A5051 Ostomy pouch, closed, with barrier attached 60 ea/mo (1 piece), each A5052 Ostomy pouch, closed, without barrier attached, 60 ea/mo (1 piece), each A5053 Ostomy pouch, closed, for use on faceplate, each 60 ea/mo A5054Ostomy pouch, closed, for use on barrier with flange 60 ea/mo (2 piece), each A5055 Stoma Cap 31 ea/mo ✳ A5056 Ostomy pouch, drainable, with extended wear barrier attached, with filter, (1 piece), each ✳ A5057 Ostomy pouch, drainable, with extended wear barrier attached, with built-in convexity, with filter, (1 piece), each A5061 Ostomy pouch, drainable, with barrier attached 20 ea/mo (1 piece), each A5062 Ostomy pouch, drainable, without barrier attached 20 ea/mo (1 piece), each A5063 Ostomy pouch, drainable, for use on barrier with flange 20 ea/mo (2 piece system), each A5071 Ostomy pouch, urinary, with barrier attached 20 ea/mo (1 piece), each A5072 Ostomy pouch, urinary, without barrier attached 20 ea/mo (1 piece), each A5073 Ostomy pouch, urinary, for use on barrier with flange 20 ea/mo (2 piece), each ✳ No established usual maximum, refer to Medicare Utilization Guidelines. www.hollister.com Hollister Incorporated 19 Medicare Utilization Chart HCPCS Long Description A5081 A5082 A5083 A5093 A5102 A5120 A5121 A5122 A5126 A5131 A6216 A9270 ✳ No Quantity Continent device, plug for continent stoma 31 ea/mo Continent device, catheter for continent stoma 1 ea/mo Continent device, stoma absorptive cover for continent stoma 150 ea/mo Ostomy accessory, convex insert 10 ea/mo Bedside drainage bottle with or without tubing, rigid or 2 ea/6 mo expandable, each Skin barrier, wipes or swabs, each 150 ea/6 mo Skin barrier, solid, 6 x 6 or equivalent, each 20 ea/mo Skin barrier, solid, 8 x 8 or equivalent, each 20 ea/mo Adhesive or non-adhesive, disk or foam pad 20 ea/mo Appliance cleaner, incontinence and ostomy 1 ea (16 oz btl)/mo appliances, per 16 ounce Gauze, non-impregnated, non sterile, pad size 16 sq in 60 ea/mo or less, without adhesive border, each dressing ✳ Non-covered item or service established usual maximum, refer to Medicare Utilization Guidelines. Did you know… How to Size Hollister Ostomy Pouches A properly fitted pouch is essential to minimize stomal and skin irritation and to obtain optimum pouch wear time. A stoma measuring guide allows correct measurement of the stoma. Measure the stoma accurately. Select the smallest barrier opening which fits comfortably around the stoma without actually touching it. Too large an opening will leave skin exposed and could lead to skin irritation or erosion. 20 Hollister Incorporated 1.888.740.8999 New Image Two-Piece Pouching System New Image Two-Piece Pouching System New Image Two-Piece Pouching System Hollister Ostomy. Details Matter. www.hollister.com New New Image Two-Piece Pouching System Color Matching System To help you select compatible New Image components, every box label is color-coded. First, select the proper skin barrier; then select a matching color-coded pouch (“red” skin barrier box label is compatible to “red” pouch box label). 1-3/4" 2-1/4" (44 mm) (57 mm) 2-3/4" 4" (70 mm) (102 mm) Flat Skin Barriers with Integrated Floating Flanges 1460x (CUT-TO-FIT) Flextend (extended wear) Skin Barrier With Tape Border Box of 5 � � HCPCS for 14602, 14603 & 14604: A4409 HCPCS for 14606: A4410 Stock No Flange Size Barrier Opening (44 mm) c 1-3/4" (57 mm) c 2-1/4" 2-3/4" mm) c 4" (70 (102 mm) c 14602 14603 14604 14606 up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) up to 3-1/2" (89 mm) 1560x (CUT-TO-FIT) Flextend (extended wear) Skin Barrier Without Tape Border Box of 5 � � HCPCS for 15602 & 15603: A4409 HCPCS for 15604: A4410 Stock No Flange Size Barrier Opening (44 mm) c 1-3/4" (57 mm) c 2-1/4" c 2-3/4" (70 mm) 15602 15603 15604 up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) 1420x (CUT-TO-FIT) FlexWear (standard wear) Skin Barrier With Tape Border Box of 5 � � HCPCS for 14202, 14203 & 14204: A4414 HCPCS for 14206: A4415 Stock No Flange Size Barrier Opening (44 mm) c 1-3/4" (57 mm) c 2-1/4" 2-3/4" mm) c 4" (70 (102 mm) c 14202 14203 14204 14206 up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) up to 3-1/2" (89 mm) 1520x (CUT-TO-FIT) FlexWear (standard wear) Skin Barrier Without Tape Border Box of 5 � � HCPCS for 15202 & 15203: A4414 HCPCS for 15204: A4415 Stock No 15202 15203 15204 Flange Size (44 mm) c 1-3/4" (57 mm) c 2-1/4" c 2-3/4" (70 mm) www.hollister.com Barrier Opening up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) Hollister Incorporated 25 New Image Two-Piece Pouching System Flat Skin Barriers with Integrated Floating Flanges (continued) 1470x (PRE-SIZED) Flextend (extended wear) Skin Barrier With Tape Border Box of 5 � � HCPCS: A4409 Stock No 14701 14702 14703 14704 14705 14706 14707 14708 14709 Flange Size Barrier Opening (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" 1-3/4" mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 2-1/4" (44 mm) c 2-1/4" (57 (57 c 2-1/4" (57 mm) mm) c 5/8" (16 mm) 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 1610x (PRE-SIZED) Flextend (extended wear) Skin Barrier Without Tape Border Box of 5 � � HCPCS: A4409 Stock No 16101 16102 16103 16104 16105 16106 16107 16108 Flange Size Barrier Opening (44 mm) c 1-3/4" (44 mm) c 1-3/4" 1-3/4" mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 2-1/4" (44 (57 c 2-1/4" (57 mm) mm) c 5/8" (16 mm) 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 1430x (PRE-SIZED) FlexWear (standard wear) Skin Barrier With Tape Border Box of 5 � � HCPCS: A4414 Stock No 14301 14302 14303 14304 14305 14306 14307 14308 14309 Flange Size Barrier Opening (44 mm) c 1-3/4" (44 mm) c 1-3/4" 1-3/4" mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 2-1/4" (44 (57 c 2-1/4" (57 mm) c 2-1/4" (57 mm) mm) c 5/8" (16 mm) 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 1640x (PRE-SIZED) FlexWear (standard wear) Skin Barrier Without Tape Border Box of 5 � � HCPCS: A4414 Stock No 16401 16402 16403 16404 16405 16406 16407 16408 26 Flange Size Barrier Opening (44 mm) c 1-3/4" (44 mm) c 1-3/4" 1-3/4" mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 (44 c 2-1/4" (57 mm) c 2-1/4" (57 mm) mm) c 5/8" (16 mm) 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) Hollister Incorporated 1.888.740.8999 Flat Skin Barriers with Integrated Floating Flanges (continued) 1410x (shape-to-fit) FormaFlex (extended wear) Skin Barrier With Tape Border Box of 5 � � HCPCS: A4409 Stock No 14102 14103 14104 Flange Size (44 mm) c 1-3/4” 2-1/4” (57 mm) c 2-3/4” (70 mm) c Barrier Opening Up to 1-1/4” (32 mm) Up to 1-11/16” (43 mm) Up to 2-1/4” (57 mm) FormaFlex Shape-to-Fit Skin Barrier (Part of the New Image product line) This convenient, versatile skin barrier is simple to shape and reshape by hand for a customized fit around various stoma sizes. No measuring, no tracing, no cutting. The barrier is specially formulated to be soft and flexible enough for users to attain just the right fit, and strong and gentle enough to firmly adhere around the stoma. All FormaFlex Shape-to-Fit Skin Barriers have a 5/8" starter hole. FormaFlex Skin Barrier — Simple to shape. www.hollister.com Hollister Incorporated 27 New Image Two-Piece Pouching System Convex Skin Barriers with Integrated Floating Flanges 1480x (CUT-TO-FIT) Flextend (extended wear) Skin Barrier With Tape Border Box of 5 � � HCPCS: A4407 Stock No Flange Size (44 mm) c 1-3/4" (57 mm) c 2-1/4" c 2-3/4" (70 mm) 14802 14803 14804 Barrier Opening up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm) 1580x (CUT-TO-FIT) Flextend (extended wear) Skin Barrier Without Tape Border Box of 5 � � HCPCS for 15802 & 15803: A4407 HCPCS for 15804: A4408 Stock No Flange Size (44 mm) c 1-3/4" (57 mm) c 2-1/4" c 2-3/4" (70 mm) 15802 15803 15804 Barrier Opening up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm) 1440x (CUT-TO-FIT) FlexWear (standard wear) Skin Barrier With Tape Border Box of 5 � � HCPCS: A4373 Stock No Flange Size (44 mm) c 1-3/4" (57 mm) c 2-1/4" 2-3/4" (70 mm) c 14402 14403 14404 Barrier Opening up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm) 1540x (CUT-TO-FIT) FlexWear (standard wear) Skin Barrier Without Tape Border Box of 5 � � HCPCS: A4373 Stock No 15402 15403 15404 Flange Size (44 mm) c 1-3/4" (57 mm) c 2-1/4" c 2-3/4" (70 mm) Barrier Opening up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm) convex product Did you know… Hollister Skin Barrier Packaging •Individually packaged •Product name, stock number, and color coding clearly indicated •Discreet •Easy-to-open •Less shelf space required 28 Hollister Incorporated 1.888.740.8999 Convex Skin Barriers with Integrated Floating Flanges (continued) 149xx (PRE-SIZED) Flextend (extended wear) Skin Barrier With Tape Border Box of 5 � � HCPCS: A4407 Stock No 14901 14902 14903 14904 14905 14906 14907 14908 14909 14910 14911 Flange Size Barrier Opening (44 mm) c 1-3/4" (44 mm) c 1-3/4" (44 mm) c 1-3/4" 1-3/4" mm) c 2-1/4" (44 mm) c 2-1/4" (57 mm) c 2-1/4" (57 mm) c 2-1/4" (57 (57 c 2-3/4" (70 mm) c 2-3/4" (70 mm) c 2-3/4" (70 mm) mm) c 5/8" (16 mm) 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 1-5/8" (41 mm) 1-3/4" (44 mm) 2" (51 mm) 1590x (PRE-SIZED) Flextend (extended wear) Skin Barrier Without Tape Border Box of 5 � � HCPCS: A4407 Stock No 15903 15904 15905 15906 Flange Size Barrier Opening (44 mm) c 1-3/4" (44 mm) c 1-3/4" (57 mm) c 2-1/4" c 2-1/4" (57 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1450x (PRE-SIZED) FlexWear (standard wear) Skin Barrier With Tape Border Box of 5 � � HCPCS: A4373 Stock No 14503 14504 14505 14506 Flange Size Barrier Opening (44 mm) c 1-3/4" (44 mm) c 1-3/4" (57 mm) c 2-1/4" c 2-1/4" (57 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1550x (PRE-SIZED) FlexWear (standard wear) Skin Barrier Without Tape Border Box of 5 � � HCPCS: A4373 Stock No 15503 15504 15505 15506 Flange Size Barrier Opening (44 mm) c 1-3/4" (44 mm) c 1-3/4" (57 mm) c 2-1/4" c 2-1/4" (57 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) convex product www.hollister.com Hollister Incorporated 29 New Image Two-Piece Pouching System Drainable Pouches 1818x/1819x Drainable Pouch With Integrated AF300 Filter Lock ’n Roll Microseal Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent — Body Side Only - Beige — Both Sides Box of 10 � � � � � � HCPCS: A4425 Transparent Stock No Beige Stock No 18192 18193 18194 18182 18183 18184 Flange Size Pouch Length (44 mm) c 1-3/4" (57 mm) c 2-1/4" c 2-3/4" (70 mm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 1828x/1829x Drainable Mini-Pouch With Integrated AF300 Filter Lock ’n Roll Microseal Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent — Body Side Only - Beige — Both Sides Box of 20 � � � � � � HCPCS: A4425 Transparent Stock No Beige Stock No 18292 18293 18294 18282 18283 18284 Flange Size Pouch Length (44 mm) c 1-3/4" (57 mm) c 2-1/4" 2-3/4" (70 mm) c 7" (18 cm) 7" (18 cm) 7" (18 cm) 1811x/1813x/1800x Box of 10 Drainable Pouch Without Integrated Filter Lock ’n Roll Microseal Closure Odor-Barrier Rustle-Free Film — Transparent and Beige Odor-Barrier Film — Ultra-Clear With Belt Tabs With ComfortWear Panels - Transparent and Ultra-Clear — Body Side Only - Beige — Both Sides � � � � � � � HCPCS: A5063 Transparent Beige Stock No Stock No 18132 18133 18134 — 18112 18113 18114 — Ultra-Clear Stock No Flange Size Pouch Length 18002 18003 18004 18006 (44 mm) c 1-3/4" (57 mm) c 2-1/4" 2-3/4" (70 mm) c 4" (102 mm) c 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) Did you know… Instructions for Use Improved product instructions include large images that show step-by-step application. 30 Hollister Incorporated 1.888.740.8999 Drainable Pouches (continued) 1814x/1816x Drainable Pouch With Integrated AF300 Filter Clamp Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent — Body Side Only - Beige — Both Sides Box of 10 � � � � � � HCPCS: A4425 Transparent Stock No Beige Stock No 18162 18163 18164 18142 18143 18144 Flange Size (44 mm) c 1-3/4" 2-1/4" (57 mm) c 2-3/4" (70 mm) c Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 1810x/1812x/1817x Box of 10 Drainable Pouch Without Integrated Filter Clamp Closure Odor-Barrier Rustle-Free Film — Transparent and Beige Odor-Barrier Film — Ultra-Clear With Belt Tabs With ComfortWear Panels - Transparent and Ultra-Clear — Body Side Only - Beige — Both Sides � � � � � � � HCPCS: A5063 Transparent Beige Stock No Stock No 18102 18103 18104 — Ultra-Clear Stock No Flange Size 18172 18173 18174 18176 mm) c 1-3/4" (44 (57 mm) c 2-1/4" (70 mm) c 2-3/4"4" (102 mm) c 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 1820x Drainable Mini-Pouch Without Integrated Filter Clamp Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels — Both Sides Box of 10 18122 18123 18124 — Pouch Length � � � � � � HCPCS: A5063 Beige Stock No 18202 18203 18204 Flange Size (44 mm) c 1-3/4" 2-1/4" (57 mm) c 2-3/4" (70 mm) c Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) Did you know… •Each box of New Image Pouches includes one disposal bag per every pouch for discreet disposal •Each box of urostomy pouches includes one urostomy tube adapter and ten (10) caps •Cutting guides are on all cut-to-fit barriers www.hollister.com Hollister Incorporated 31 New Image Two-Piece Pouching System High Output Drainable Pouches 1801x Box of 10 Drainable Pouch Without Integrated Filter Soft Tap Odor-Barrier Film With Belt Tabs With ComfortWear Panel — Body Side Only � � � � � � HCPCS: A4412 Ultra-Clear Stock No Flange Size Pouch Length 1-3/4" (44 mm) c 2-1/4" mm) c 2-3/4" (57 (70 mm) c 4" (102 mm) c 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 1836x/1837x Closed Pouch With Integrated AF300 Filter Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent — Body Side Only - Beige — Both Sides Box of 60 18012 18013 18014 18016 Closed Pouches � � � � � HCPCS: A4419 Transparent Stock No Beige Stock No 18362 18363 18364 18372 18373 18374 Flange Size 1-3/4" (44 mm) c 2-1/4" mm) c 2-3/4" (57 (70 mm) c 1832x Closed Pouch With Integrated AF300 Filter With Belt Tabs With QuietWear Pouch Material HCPCS: A4419 Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) Box of 30 � � � � Beige Stock No Flange Size Pouch Length 1-3/4" (44 mm) c 2-1/4" mm) c 2-3/4" (57 (70 mm) c 18322 18323 18324 1838x/1839x Closed Mini-Pouch With Integrated AF300 Filter With Belt Tabs With ComfortWear Panels - Transparent — Body Side Only - Beige — Both Sides 9" (23 cm) 9" (23 cm) 9" (23 cm) Box of 60 � � � � HCPCS: A4419 32 Transparent Stock No Beige Stock No 18382 18383 18384 18392 18393 18394 Flange Size (44 mm) c 1-3/4" (57 mm) c 2-1/4" c 2-3/4" (70 mm) Hollister Incorporated Pouch Length 7" (18 cm) 7" (18 cm) 7" (18 cm) 1.888.740.8999 Closed Pouches (continued) 1833x 1873x Closed Pouch Without Integrated Filter With Belt Tabs With QuietWear Pouch Material HCPCS: A5054 Box of 30 Box of 60 � � � � Stock No Box of 30 Stock No Box of 60 18332 18333 18334 18732 18733 18734 Flange Size (44 mm) c 1-3/4" (57 mm) c 2-1/4" 2-3/4" (70 mm) c 1835x 1875x Closed Mini-Pouch Without Integrated Filter Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels — Both Sides Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) Box of 30 Box of 60 � � � � � HCPCS: A5054 Stock No Box of 30 Stock No Box of 60 18352 18353 18354 18752 18753 18754 Flange Size (44 mm) c 1-3/4" (57 mm) c 2-1/4" 2-3/4" (70 mm) c Pouch Length 7" (18 cm) 7" (18 cm) 7" (18 cm) Irrigator Sleeve 1815x Drainable Irrigator Sleeve Odor-Barrier Film With Belt Tabs Includes Clamp Box of 5 � � � � HCPCS: A4397 Transparent Stock No Flange Size Pouch Length (44 mm) c 1-3/4” 2-1/4” (57 mm) c 2-3/4” (70 mm) c 18152 18153 18154 30” (76 cm) 30” (76 cm) 30” (76 cm) Urostomy Pouches 1840x/1841x/1842x Box of 10 Urostomy Pouch Odor-Barrier Rustle-Free Film Odor-Barrier Film — Ultra-Clear With Belt Tabs With ComfortWear Panels - Transparent and Ultra-Clear — Body Side Only - Beige — Both Sides � � � � � HCPCS: A4432 Transparent Beige Stock No Stock No 18402 18403 18404 18412 18413 18414 Ultra-Clear Stock No Flange Size 18422 18423 18424 (44 mm) c 1-3/4" (57 mm) c 2-1/4" c 2-3/4" (70 mm) www.hollister.com Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) Hollister Incorporated 33 New Image Two-Piece Pouching System Non Sterile Kits — Drainable 1900x Box of 5 Colostomy/Ileostomy Kit includes: (1) 1420x (FlexWear) with Tape Border (1) 1800x (Lock ’n Roll Microseal Closure) Ultra-Clear (1) 7767 Loop Ostomy Bridge (in 19006 only) Single-Use Package � � � � HCPCS for 19002, 19003 & 19004: A5063 + A4414 HCPCS for 19006: A5063 + A4415 Ultra-Clear Stock No Flange Size (44 mm) c 1-3/4" 2-1/4" (57 mm) c 2-3/4" (70 mm) c c 4" (102 mm) 19002 19003 19004 19006 Barrier Opening up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) up to 3-1/2" (89 mm) 1910x Box of 5 Colostomy/Ileostomy Kit includes: (1) 1420x (FlexWear) with Tape Border (1) 1817x (Clamp Closure) Ultra-Clear (1) 7767 Loop Ostomy Bridge (in 19106 only) Single-Use Package � � � � HCPCS for 19102, 19103 & 19104: A5063 + A4414 HCPCS for 19106: A5063 + A4415 Ultra-Clear Stock No Flange Size (44 mm) c 1-3/4" 2-1/4" (57 mm) c 2-3/4" (70 mm) c 4" (102 mm) c 19102 19103 19104 19106 Barrier Opening up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) up to 3-1/2" (89 mm) Non Sterile Kits — Urostomy 1920x Urostomy Kit includes: (1) 1460x (Flextend) with Tape Border (1) 1842x (Ultra-Clear Pouch Film) (1) 7331 Single-Use Package Box of 5 � � � � HCPCS: A4432 + A4409 Ultra-Clear Stock No 19202 19203 19204 34 Flange Size (44 mm) c 1-3/4" 2-1/4" (57 mm) c 2-3/4" (70 mm) c Hollister Incorporated Barrier Opening up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) 1.888.740.8999 Sterile Kits — Drainable 1905x Box of 5 Colostomy/Ileostomy Kit includes: (1) 1420x (FlexWear) with Tape Border (1) 1800x (Lock ’n Roll Microseal Closure) Ultra-Clear (1) 7767 Loop Ostomy Bridge (in 19056 only) Single-Use Package � � � � HCPCS for 19052, 19053 & 19054: A5063 + A4414 HCPCS for 19056: A5063 + A4415 Ultra-Clear Stock No Flange Size Barrier Opening (44 mm) c 1-3/4" (57 mm) c 2-1/4" 2-3/4" (70 mm) c 4" (102 mm) c 19052 19053 19054 19056 up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) up to 3-1/2" (89 mm) 1915x Box of 5 Colostomy/Ileostomy Kit includes: (1) 1420x (FlexWear) with Tape Border (1) 1817x (Clamp Closure) Ultra-Clear (1) 7767 Loop Ostomy Bridge (in 19156 only) Single-Use Package � � � � HCPCS for 19152, 19153 & 19154: A5063 + A4414 HCPCS for 19156: A5063 + A4415 Ultra-Clear Stock No Flange Size Barrier Opening (44 mm) c 1-3/4" (57 mm) c 2-1/4" (70 mm) c 2-3/4"4" (102 mm) c 19152 19153 19154 19156 up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) up to 3-1/2" (89 mm) Sterile Kits — Urostomy 1925x Urostomy Kit includes: (1) 1460x (Flextend) with Tape Border (1) 1842x (Ultra-Clear Pouch Film) (1) 7331 Single-Use Package Box of 5 � � � � HCPCS: A4432 + A4409 Ultra-Clear Stock No 19252 19253 19254 Flange Size (44 mm) c 1-3/4" 2-1/4" (57 mm) c 2-3/4" (70 mm) c www.hollister.com Barrier Opening up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) Hollister Incorporated 35 Premier One-Piece Pouching System Premier One-Piece Pouching System Premier One-Piece Pouching System Hollister Ostomy. Details Matter. www.hollister.com Pre Premier One-Piece Pouching System Drainable Pouches with Flat Barriers 8331 (CUT-TO-FIT) Box of 10 Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border With Integrated AF300 Filter Lock ’n Roll Closure Odor-Barrier Rustle-Free Film With ComfortWear Panel — Body Side Only � � � � � � � HCPCS: A5056 Transparent Stock No Barrier Opening 8331 Pouch Length up to 2-1/2" (64 mm) 8531/8551 (CUT-TO-FIT) Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Lock ’n Roll Closure Odor-Barrier Rustle-Free Film — Beige Odor-Barrier Film — Ultra-Clear With ComfortWear Panels - Ultra-Clear — Body Side Only - Beige — Both Sides 12" (30 cm) Box of 10 � � � � � � � � HCPCS: A4388 Ultra-Clear Stock No 8531 Beige Stock No Barrier Opening 8551 up to 2-1/2" (64 mm) Pouch Length 12" (30 cm) 8631/8651 (CUT-TO-FIT) Box of 10 Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Clamp Closure Odor-Barrier Rustle-Free Film — Transparent Odor-Barrier Film — Ultra-Clear With ComfortWear Panel — Body Side Only � � � � � � � � HCPCS: A4388 Transparent Stock No 8631 Ultra-Clear Stock No Barrier Opening 8651 up to 2-1/2" (64 mm) Pouch Length 12" (30 cm) 8641 (CUT-TO-FIT) Box of 10 Drainable Mini-Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Clamp Closure Odor-Barrier Rustle-Free Film With ComfortWear Panel — Body Side Only � � � � � � � HCPCS: A4388 Transparent Stock No 8641 Barrier Opening Pouch Length up to 2-1/2" (64 mm) www.hollister.com 9" (23 cm) Hollister Incorporated 41 Premier One-Piece Pouching System Drainable Pouches with Flat Barriers (continued) 8081/8181 (CUT-TO-FIT) Drainable Pouch FlexWear (standard wear) Skin Barrier With Tape Border With Integrated AF300 Filter Lock ’n Roll Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent — Body Side Only - Beige — Both Sides Box of 10 � � � � � � � HCPCS: A4424 Transparent Stock No 8081 Beige Stock No Barrier Opening 8181 up to 2-1/2" (64 mm) 8031 (CUT-TO-FIT) Drainable Pouch FlexWear (standard wear) Skin Barrier With Tape Border Without Integrated AF300 Filter Lock ’n Roll Closure Odor-Barrier Film With ComfortWear Panel — Body Side Only Pouch Length 12" (30 cm) Box of 10 � � � � � � � HCPCS: A5061 Ultra-Clear Stock No Barrier Opening 8031 up to 2-1/2" (64 mm) Pouch Length 12" (30 cm) 8131 (CUT-TO-FIT) Box of 10 Drainable Pouch FlexWear (standard wear) Skin Barrier With Tape Border Without Integrated AF300 Filter Clamp Closure Odor-Barrier Film With ComfortWear Panel — Body Side Only � � � � � � � HCPCS: A5061 Ultra-Clear Stock No Barrier Opening 8131 Pouch Length up to 2-1/2" (64 mm) 12" (30 cm) 88300/88400 (CUT-TO-FIT) Drainable Pouch SoftFlex (standard wear) Skin Barrier Without Tape Border With Integrated AF300 Filter Lock ’n Roll Microseal Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent — Body Side Only - Beige — Both Sides Box of 10 � � � � � � � HCPCS: A4424 Transparent Stock No 88400 42 Beige Stock No Barrier Opening 88300 up to 2-1/8" (55 mm) Hollister Incorporated Pouch Length 12" (30 cm) 1.888.740.8999 Drainable Pouches with Flat Barriers (continued) 88800/88700 (CUT-TO-FIT) Drainable Mini-Pouch SoftFlex (standard wear) Skin Barrier Without Tape Border With Integrated AF300 Filter Lock ’n Roll Microseal Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent — Body Side Only - Beige — Both Sides Box of 20 � � � � � � � HCPCS: A4424 Transparent Stock No Beige Stock No Barrier Opening 88700 up to 2-1/8" (55 mm) 7" (18 cm) 88302/88402 (OVAL CUT-TO-FIT) Drainable Pouch SoftFlex (standard wear) Skin Barrier Without Tape Border With Integrated AF300 Filter Lock ’n Roll Microseal Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent — Body Side Only - Beige — Both Sides Box of 10 88800 Pouch Length � � � � � � � HCPCS: A4424 Transparent Stock No 88402 Beige Stock No Barrier Opening 88302 3 x 2.5" (75 mm x 65 mm) Pouch Length 12" (30 cm) 88401 (CUT-TO-FIT) Box of 10 Drainable Pouch SoftFlex (standard wear) Skin Barrier Without Tape Border Without Integrated Filter Lock ’n Roll Microseal Closure Odor-Barrier Film With ComfortWear Panel — Body Side Only � � � � � � � HCPCS: A5061 Ultra-Clear Stock No 88401 Barrier Opening Pouch Length up to 2-1/2" (64 mm) 12" (30 cm) Did you know… •Cut-to-fit products have a 1/2" (13 mm) starter hole and can be used as a pre-sized product for some small stomas (excludes Pouchkins products) •Cutting guides are provided on all cut-to-fit barriers •Drainable pouches without the Lock ’n Roll Closure include one pouch clamp per box •We do not recommend the use of Skin Gel Wipes (Stock No 7917) or other brands of skin preps with Flextend Skin Barriers as they may decrease wear time www.hollister.com Hollister Incorporated 43 Premier One-Piece Pouching System Drainable Pouches with Flat Barriers (continued) 88501 (CUT-TO-FIT) Box of 10 Drainable Pouch SoftFlex (standard wear) Skin Barrier Without Tape Border Without Integrated Filter Clamp Closure Odor-Barrier Film With ComfortWear Panel — Body Side Only � � � � � � � HCPCS: A5061 Ultra-Clear Stock No Barrier Opening 88501 Pouch Length up to 2-1/2" (64 mm) 12" (30 cm) 853x/855x (PRE-SIZED) Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Lock ’n Roll Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent — Body Side Only - Beige — Both Sides Box of 10 � � � � � � � HCPCS: A4388 Transparent Stock No 8532 8538 8533 8539 Beige Stock No Barrier Opening Pouch Length 8552 8558 8553 8559 1" (25 mm) 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 863x (PRE-SIZED) Box of 10 Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Clamp Closure Odor-Barrier Rustle-Free Film With ComfortWear Panel — Body Side Only � � � � � � � HCPCS: A4388 Transparent Stock No 8637 8632 8638 8633 8639 8634 8635 44 Barrier Opening Pouch Length 3/4" (19 mm) 1" (25 mm) 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) 2-1/2" (64 mm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) Hollister Incorporated 1.888.740.8999 Drainable Pouches with Flat Barriers (continued) 864x (PRE-SIZED) Drainable Mini-Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Clamp Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels — Both Sides Box of 10 � � � � � � � HCPCS: A4388 Beige Stock No Barrier Opening Pouch Length 3/4" (19 mm) 1" (25 mm) 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 80xx/81xx (PRE-SIZED) Drainable Pouch FlexWear (standard wear) Skin Barrier With Tape Border With Integrated AF300 Filter Lock ’n Roll Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent — Body Side Only - Beige — Both Sides Box of 10 8647 8642 8648 8643 8649 8644 � � � � � � � HCPCS: A4424 Transparent Stock No 8025 8030 8035 8040 Beige Stock No Barrier Opening Pouch Length 8125 8130 8135 8140 1" (25 mm) 1-3/16" (30 mm) 1-3/8" (35 mm) 1-9/16" (40 mm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 883xx/884xx (PRE-SIZED) Drainable Pouch SoftFlex (standard wear) Skin Barrier Without Tape Border With Integrated AF300 Filter Lock ’n Roll Microseal Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent — Body Side Only - Beige — Both Sides Box of 10 � � � � � � � HCPCS: A4424 Transparent Stock No 88425 88430 88435 88440 Beige Stock No Barrier Opening Pouch Length 88325 88330 88335 88340 1" (25 mm) 1-3/16" (30 mm) 1-3/8" (35 mm) 1-9/16" (40 mm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) www.hollister.com Hollister Incorporated 45 Premier One-Piece Pouching System Drainable Pouches with Flat Barriers (continued) 887xx (PRE-SIZED) Drainable Mini-Pouch SoftFlex (standard wear) Skin Barrier Without Tape Border With Integrated AF300 Filter Lock ’n Roll Microseal Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels - Beige — Both Sides Box of 20 � � � � � � � HCPCS: A4424 Beige Stock No Barrier Opening Pouch Length 88725 88730 88735 88740 1" (25 mm) 1-3/16" (30 mm) 1-3/8" (35 mm) 1-9/16" (40 mm) 7" (18 cm) 7" (18 cm) 7" (18 cm) 7” (18 cm) Drainable Pouches with Convex Barriers 858x (Cut-To-Fit) Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border Integrated AF300 Filter Lock ’n Roll Closure Odor-Barrier Rustle-Free Film With ComfortWear Panel — Body Side Only Box of 5 � � � � � � � HCPCS Code: A5057 Transparent Stock No 8584 8588 85811 Barrier Opening Pouch Length up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 852x/850x (CUT-TO-FIT) Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Lock ’n Roll Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent — Body Side Only - Beige — Both Sides Box of 5 � � � � � � � � HCPCS: A4390 Transparent Stock No 8524 8528 85211 46 Beige Stock No 8504 8508 85011 Barrier Opening Pouch Length up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm) 12" (30 cm) 12" (30 cm) 12" (30 cm) Hollister Incorporated 1.888.740.8999 Drainable Pouches with Convex Barriers (continued) 862x (CUT-TO-FIT) Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Clamp Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panel — Body Side Only Box of 5 � � � � � � � � HCPCS: A4390 Transparent Stock No 8624 8628 86211 Barrier Opening Pouch Length up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 851x/859x (PRE-SIZED) Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Lock ’n Roll Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent — Body Side Only - Beige — Both Sides Box of 5 � � � � � � � � HCPCS: A4390 Transparent Stock No 8510 8511 8512 8513 8514 8515 85116 — 85118 85119 Beige Stock No Barrier Opening Pouch Length 8590 8591 8592 8593 8594 8595 8596 8597 — 8599 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 1-5/8" (41 mm) 1-3/4" (44 mm) 2" (51 mm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 861x (PRE-SIZED) Drainable Pouch Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Clamp Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panel — Body Side Only Box of 5 � � � � � � � � HCPCS: A4390 Transparent Stock No 8610 8611 8612 8613 8614 8615 8616 8617 8618 8619 Barrier Opening Pouch Length 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 1-5/8" (41 mm) 1-3/4" (44 mm) 2" (51 mm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) convex product www.hollister.com Hollister Incorporated 47 Premier One-Piece Pouching System High Output Drainable Pouches 80070/80110 (CUT-TO-FIT) Box of 10 Non Sterile, Drainable Pouch Flextend (extended wear) Skin Barrier — Flat With Soft Tap With Access Window Odor-Barrier Film With ComfortWear Panel — Body Side Only � � � � � � HCPCS: A6154 Ultra-Clear Stock No Barrier Opening 80070 80110 up to 2-3/4" (70 mm) up to 4-1/3" (110 mm) Pouch Length 12" (30 cm) 12" (30 cm) 81070/81110 (CUT-TO-FIT) Box of 5 Sterile, Drainable Pouch Flextend (extended wear) Skin Barrier — Flat With Soft Tap With Access Window Odor-Barrier Film With ComfortWear Panel — Body Side Only � � � � � � HCPCS: A6154 Ultra-Clear Stock No 81070 81110 48 Barrier Opening up to 2-3/4" (70 mm) up to 4-1/3" (110 mm) Hollister Incorporated Pouch Length 12" (30 cm) 12" (30 cm) 1.888.740.8999 Hollister Universal Catheter Access Port 9779 Graduated nipple and punch allows introduction of catheter or drain through pouch Sterile � � Stock No Quantity/Box 9779 8 Wound Drainage Collectors 970x/977x For Management of Draining Wounds, Fistulae, or Draining Tube Sites Available With and Without FlexWear (standard wear) Skin Barriers — Flat Sterile and Non Sterile Drainable Pouches Odor-Barrier Film With Access Window Reclosable Cap Without Starter Hole � � � � � � � HCPCS: A6154 With Barrier: Non Sterile Stock No Description 9773 9776 9778 Quantity/ Box Small (for wounds up to 3") Medium (for wounds up to 3-3/4") Large (for wounds up to 4" x 8") With Barrier: Sterile Stock No Description 9701 9702 9703 Quantity/ Box Small (for wounds up to 3") Medium (for wounds up to 3-3/4") Large (for wounds up to 4" x 8") Without Barrier: Sterile Stock No Description 9772 9775 9777 5 5 3 Quantity/ Box Small (for wounds up to 3") Medium (for wounds up to 3-3/4") Large (for wounds up to 4" x 8") www.hollister.com 10 10 3 10 10 3 Hollister Incorporated 49 Premier One-Piece Pouching System Closed Pouches 82300/82400 (CUT-TO-FIT) Box of 30 Closed Pouch SoftFlex (standard wear) Skin Barrier — Flat Without Tape Border With Integrated AF300 Filter Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent — Body Side Only - Beige — Both Sides � � � � � � HCPCS: A4416 Transparent Stock No 82400 Beige Stock No Barrier Opening 82300 up to 2-1/8" (55 mm) Pouch Length 9" (23 cm) 82302/82402 (OVAL CUT-TO-FIT) Box of 30 Closed Pouch SoftFlex (standard wear) Skin Barrier — Flat Without Tape Border With Integrated AF300 Filter Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent — Body Side Only - Beige — Both Sides � � � � � � HCPCS: A4416 Transparent Stock No 82402 Beige Stock No Barrier Opening 82302 3 x 2.5" (75 mm x 65 mm) Pouch Length 9" (23 cm) 82100/82500 (CUT-TO-FIT) Box of 30 Closed Mini-Pouch SoftFlex (standard wear) Skin Barrier — Flat Without Tape Border With Integrated AF300 Filter Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent — Body Side Only - Beige — Both Sides � � � � � � HCPCS: A4416 Transparent Stock No 82500 Beige Stock No Barrier Opening 82100 up to 2-1/8" (55 mm) Pouch Length 7" (18 cm) 823xx (PRE-SIZED) Box of 30 Closed Pouch SoftFlex (standard wear) Skin Barrier — Flat Without Tape Border With Integrated AF300 Filter Odor-Barrier Rustle-Free Film With ComfortWear Panels — Both Sides � � � � � � HCPCS: A4416 50 Beige Stock No Barrier Opening Pouch Length 82325 82330 82335 1" (25 mm) 1-3/16" (30 mm) 1-3/8" (35 mm) 9" (23 cm) 9" (23 cm) 9" (23 cm) Hollister Incorporated 1.888.740.8999 Closed Pouches (continued) 821xx (PRE-SIZED) Box of 30 Closed Mini-Pouch SoftFlex (standard wear) Skin Barrier — Flat Without Tape Border With Integrated AF300 Filter Odor-Barrier Rustle-Free Film With ComfortWear Panels — Both Sides � � � � � � HCPCS: A4416 Beige Stock No Barrier Opening Pouch Length 82125 82130 82135 1" (25 mm) 1-3/16" (30 mm) 1-3/8" (35 mm) 7" (18 cm) 7" (18 cm) 7" (18 cm) Stoma Cap 1796 (PRE-SIZED) Box of 30 Stoma Cap SoftFlex (standard wear) Skin Barrier — Flat Without Tape Border With Integrated Filter Odor-Barrier Film � � � � � HCPCS: A5055 Beige Stock No Barrier Opening Size 1796 1-15/16" (50 mm) 4" (102 mm) Urostomy Pouches with Flat Barriers 8450/8460/8440 (CUT-TO-FIT) Urostomy Pouch Flextend (extended wear) Skin Barrier With Tape Border Odor-Barrier Rustle-Free Film Odor-Barrier Film — Ultra-Clear With ComfortWear Panels - Transparent — Body Side Only - Beige — Both Sides Box of 10 � � � � � � HCPCS: A4428 Transparent Ultra-Clear Stock No Stock No 8460 Beige Stock No Barrier Opening 8440 up to 2-1/2" (64 mm) 8450 846x/844x (PRE-SIZED) Urostomy Pouch Flextend (extended wear) Skin Barrier With Tape Border Odor-Barrier Rustle-Free Film With ComfortWear Panels - Transparent — Body Side Only - Beige — Both Sides Pouch Length 9" (23 cm) Box of 10 � � � � � HCPCS: A4428 Transparent Stock No 8467 8462 8468 8463 8469 8464 Beige Stock No Barrier Opening Pouch Length 8447 8442 8448 8443 8449 8444 3/4" (19 mm) 1" (25 mm) 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) www.hollister.com Hollister Incorporated 51 Premier One-Piece Pouching System Urostomy Pouches with Convex Barriers 847x/843x (CUT-TO-FIT) Urostomy Pouch Flextend (extended wear) Skin Barrier With Tape Border Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent — Body Side Only - Beige — Both Sides Box of 5 � � � � � � HCPCS: A4430 Transparent Stock No Beige Stock No 8474 8478 84711 8434 8438 84311 Barrier Opening Pouch Length up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 848x/849x (PRE-SIZED) Urostomy Pouch Flextend (extended wear) Skin Barrier With Tape Border Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent — Body Side Only - Beige — Both Sides Box of 5 � � � � � � HCPCS: A4430 Transparent Stock No 8480 8481 8482 8483 8484 8485 8486 8487 8488 8489 Beige Stock No Barrier Opening Pouch Length 8490 8491 8492 8493 8494 8495 8496 8497 8498 8499 1/2" (13 mm) 5/8" (16 mm) 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) Non Sterile Kits — Drainable 89001 (CUT-TO-FIT) Box of 5 Kits Colostomy/Ileostomy Kit Includes: (1) 88401 SoftFlex (standard wear) Skin Barrier Without Tape Border Without Integrated Filter Lock ’n Roll Closure Single-Use Package � � � � � HCPCS: A5061 Ultra-Clear Stock No Barrier Opening 89001 up to 2-1/2" (64 mm) Pouch Length 12" (30 cm) convex product 52 Hollister Incorporated 1.888.740.8999 Non Sterile Kits — Drainable (continued) 89002 (CUT-TO-FIT) Box of 5 Kits Colostomy/Ileostomy Kit Includes: (1) 88501 SoftFlex (standard wear) Skin Barrier Without Tape Border Without Integrated Filter Clamp Closure Single-Use Package � � � � � HCPCS: A5061 Ultra-Clear Stock No Barrier Opening 89002 Pouch Length up to 2-1/2" (64 mm) 12" (30 cm) 89003 (CUT-TO-FIT) Box of 5 Kits Colostomy/Ileostomy Kit Includes: (1) 8651 Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Clamp Closure Single-Use Package � � � � � HCPCS: A4388 Ultra-Clear Stock No Barrier Opening 89003 Pouch Length up to 2-1/2" (64 mm) 12" (30 cm) 89004 (CUT-TO-FIT) Box of 5 Kits Colostomy/Ileostomy Kit Includes: (1) 8531 Flextend (extended wear) Skin Barrier With Tape Border Without Integrated Filter Lock ’n Roll Closure Single-Use Package � � � � � HCPCS: A4388 Ultra-Clear Stock No Barrier Opening 89004 Pouch Length up to 2-1/2" (64 mm) 12" (30 cm) Non Sterile Kits — Urostomy 89005 (CUT-TO-FIT) Box of 5 Kits Urostomy Kit Includes: (1) 8450 Flextend (extended wear) Skin Barrier With Tape Border (1) 7331 Single-Use Package � � � � HCPCS: A4428 Ultra-Clear Stock No 89005 Barrier Opening Pouch Length up to 2-1/2" (64 mm) www.hollister.com 9" (23 cm) Hollister Incorporated 53 Pouchkins Pediatric Pouching System Pouchkins Pediatric Pouching System Pouchkins Pediatric Pouching System Hollister Ostomy. Details Matter. www.hollister.com Pou Pouchkins Pediatric Pouching System Premie Pouch 3777 (CUT-TO-FIT) Box of 15 Use as a Premie Closed or Drainable Pouch SoftFlex (standard wear) Skin Barrier — Flat Without Tape Border Without Starter Hole Without Integrated Filter Odor-Barrier Film Soft Wire Closure Without ComfortWear Panels � � � � � � � � HCPCS: A5052 + A4362 Ultra-Clear Stock No Barrier Opening 3777 Pouch Length up to 5/8" (15 mm) 4-1/2" (11.5 cm) Newborn Pouch 3778 (CUT-TO-FIT) Box of 15 Newborn Pouch; Use With or Without the Drain Valve SoftFlex (standard wear) Skin Barrier — Flat Without Tape Border Without Integrated Filter Soft Wire Closure Odor-Barrier Film Without ComfortWear Panels � � � � � � � HCPCS: A5062 + A4362 Ultra-Clear Stock No 3778 Barrier Opening Pouch Length up to 1-3/8" x 7/8" (35 mm x 22 mm) 6-1/2" (16 cm) One-Piece Pouches 3796 (CUT-TO-FIT) Box of 10 Drainable Pouch SoftFlex (standard wear) Skin Barrier — Flat Without Starter Hole Without Tape Border Without Integrated Filter Lock ’n Roll Microseal Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels — Body Side Only � � � � � � � � HCPCS: A5061 Transparent Stock No 3796 Barrier Opening Pouch Length up to 1-1/2" (38 mm) 6-1/2" (16 cm) 3795 (CUT-TO-FIT) Box of 10 Drainable Pouch SoftFlex (standard wear) Skin Barrier — Flat Without Starter Hole Without Tape Border With Integrated AF300 Filter Lock ’n Roll Microseal Closure Odor-Barrier Rustle-Free Film With ComfortWear Panels — Body Side Only � � � � � � � � HCPCS: A4424 Transparent Stock No Barrier Opening 3795 www.hollister.com up to 2" (51 mm) Pouch Length 7" (18 cm) Hollister Incorporated 59 Pouchkins Pediatric Pouching System One-Piece Pouches (continued) 3797 (CUT-TO-FIT) Box of 10 Urostomy Pouch SoftFlex (standard wear) Skin Barrier — Flat Without Starter Hole Without Tape Border Odor-Barrier Rustle-Free Film With ComfortWear Panels — Body Side Only � � � � � � HCPCS: A5071 Transparent Stock No 3797 Barrier Opening Pouch Length up to 1-1/2" (38 mm) 8-3/4" (22 cm) Two-Piece Skin Barrier 3761 (CUT-TO-FIT) Box of 5 SoftFlex (standard wear) Skin Barrier — Flat Without Starter Hole Without Tape Border � � � HCPCS: A4414 Transparent Stock No Flange Size c 1-3/4" (44 mm) 3761 Barrier Opening up to 1-1/4" (32 mm) Two-Piece Pouches 3799 Box of 10 Drainable Pouch Without Integrated Filter Lock ’n Roll Microseal Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panel — Body Side Only � � � � � � HCPCS: A5063 Transparent Stock No Flange Size c 1-3/4" (44 mm) 3799 18292/18282 Drainable Pouch With Integrated AF300 Filter Lock ’n Roll Microseal Closure Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panel - Transparent — Body Side Only - Beige — Both Sides Pouch Length 6-1/2" (16 cm) Box of 20 � � � � � � HCPCS: A4425 60 Transparent Stock No Beige Stock No 18292 18282 Flange Size c 1-3/4" (44 mm) Hollister Incorporated Pouch Length 7" (18 cm) 1.888.740.8999 Two-Piece Pouches (continued) 18382/18392 Closed Mini-Pouch With Integrated AF300 Filter Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent — Body Side Only - Beige — Both Sides Box of 60 � � � � � HCPCS: A4419 Transparent Stock No Beige Stock No 18382 18392 Flange Size Pouch Length c 1-3/4" (44 mm) 7" (18 cm) 18402/18412 Urostomy Pouch Odor-Barrier Rustle-Free Film With Belt Tabs With ComfortWear Panels - Transparent — Body Side Only - Beige — Both Sides Box of 10 � � � � HCPCS: A4432 Transparent Stock No Beige Stock No 18402 18412 Flange Size Pouch Length c 1-3/4" (44 mm) 9" (23 cm) Pediatric Ostomy Belt 3774 Ostomy Belt - White Color Single Unit � HCPCS: A4367 Stock No Length 3774 10"- 17" (25 cm-43 cm) Did you know… Pouchkins Product Features: •SoftFlex Skin Barrier with no starter hole •Integrated Floating Flange •No tape borders •Integrated Lock ’n Roll Closure •ComfortWear Panel www.hollister.com Hollister Incorporated 61 Ostomy Accessories Ostomy Accessories Adapt Ostomy Accessories Hollister Ostomy. Details Matter. www.hollister.com Ost Ostomy Accessories Adapt Skin Barrier Accessories 780x Adapt Barrier Rings (Flat) Flextend M (extended wear) Material Box of 10 � � HCPCS: A4385 Stock No Outer Diameter 7805 7806 2" (48 mm) 4" (98 mm) 795xx Adapt Convex Barrier Rings Flextend (extended wear) Material Box of 10 � � HCPCS: A4411 Stock No Inner Diameter 79520 79530 79540 13/16" (20 mm) — can be stretched to 1" (25 mm) 1-3/16" (30 mm) — can be stretched to 1-3/8" (35 mm) 1-9/16" (40 mm) — can be stretched to 1-3/4" (45 mm) 796xx Adapt Oval Convex Barrier Rings Flextend (extended wear) Material Box of 10 � � HCPCS: A4411 NEW! Stock No Inner Diameter 79601 79602 79603 7/8" x 1-1/2" (22 mm x 38 mm) — can be stretched to 1-1/8" x 1-3/4" (27 mm x 43 mm) 1-3/16" x 1-7/8 (30 mm x 48 mm) — can be stretched to 1-3/8" x 2-1/8" (35 mm x 53 mm) 1-1/2" x 2-3/16" (38 mm x 56 mm) — can be stretched to 1-3/4" x 2-3/8" (43 mm x 61 mm) 79400 Adapt Barrier Strips Flextend (extended wear) Material Box of 10 � � HCPCS: A4385 Stock No Size Length 79400 60 g 5-1/8" (13 cm) Adapt Skin Barrier Paste 79300/79301 Adapt Paste � HCPCS: A4406 Stock No Description Quantity 79300 79301 2 oz (57 g) tube 0.5 oz (14 g) tube Box of 1 Box of 20 Adapt Stoma Powder 7906 Adapt Stoma Powder Box of 1 � HCPCS: A4371 Stock No Description 7906 1 oz (28.3 g) puff bottle Adapt Odor Eliminator and Lubricant 78500/78501 Adapt Lubricating Deodorant � HCPCS Code: A4394 Stock No Description 78500 78501 8 oz (236 mL) bottle 0.27 oz (8 mL) packet www.hollister.com Quantity Box of 1 50 Packets/Box Hollister Incorporated 67 Ostomy Accessories Adapt Ostomy Belts 7300/7299 Ostomy Belts Beige Color Box of 10 � � HCPCS: A4367 Stock No Size 7300 7299 23"-43" (58 cm-109 cm) Medium 34"-65" (86 cm-165 cm) Large Skin Barrier 8800 8801 Flextend (extended wear) Skin Barrier � HCPCS for 8800: A4385 HCPCS for 8801: A5122 Stock No Size 8800 8801 4 x 4" (10 cm x 10 cm) 8 x 8" (20 cm x 20 cm) Box of 5 Box of 3 Skin Prepping Product 7917 Skin Gel Protective Dressing Wipes � 12 Cartons of 50 Wipes Each HCPCS: A5120 Stock No 7917 Adhesives and Removers 7760 Universal Remover Wipes For Adhesives and Barriers � 12 Cartons of 50 Wipes Each � HCPCS: A4456 Stock No 7760 7730 Box of 4 Medical Adhesive Improves Adhesive Contact Between Skin and Barrier � � HCPCS: A4364 Stock No Description 7730 3.2 oz (90 g) spray can 7731 Medical Adhesive Remover Box of 4 � HCPCS: A4455 68 Stock No Description 7731 2.7 oz (76 g) spray can Hollister Incorporated 1.888.740.8999 Odor Eliminators 773x m9 Odor Eliminator Spray � HCPCS: No Code Stock No (unscented) Description Quantity 7732 7733 Box of 12 Box of 6 2 oz (60 mL) pump spray 8 oz (240 mL) pump spray (Green Apple Stock No Scented) Description Quantity 7734 7735 Box of 12 Box of 6 2 oz (60 mL) pump spray 8 oz (240 mL) pump spray 771x m9 Odor Eliminator Drops � HCPCS: A4394 Stock No Description Quantity 7715 7717 1 oz (30 mL) bottle 8 oz (240 mL) bottle Box of 12 Box of 6 Cleaner/Decrystallizer 7736 m9 Cleaner/Decrystallizer Cleans Urinary Drainage Systems pH Balanced and Non-Acidic Free Wash Bottle Included Box of 12 � � � � HCPCS: A5131 Stock No Description 7736 16 oz (480 mL) bottle Drainable Pouch Clamp 8770 Drainable Pouch Clamp Box of 20 � HCPCS: A4363 Stock No Color 8770 Beige Urostomy Drain Tube Adapter 7331 Urostomy Drain Tube Adapter Box of 10 � HCPCS: A4421 Stock No 7331 Skin Care Products 517210 Restore Skin Cleanser Box of 12 � HCPCS: A9270 Stock No Description 517210 8 oz (237 mL) pump spray www.hollister.com Hollister Incorporated 69 Ostomy Accessories Skin Care Products (continued) 517220 Restore Skin Conditioning Creme Box of 12 � HCPCS: A6250 Stock No Description 517220 4 oz (120 mL) bottle Irrigation Products 7721 Cone Irrigator Kit Includes: (1) Irrigator (1) Stoma Cone with Connector (1) Cleaning Brush Box 1 � � � � HCPCS: A4398 + A4399 Stock No 7721 7723 Stoma Cone with Connector Replacement Unit Box of 10 � � HCPCS: A4399 Stock No 7723 7740 Adapt Stoma Lubricant For Stoma Irrigation Box of 10 � � HCPCS: A4402 Stock No Description 7740 4 oz (120 mL) bottle 7728/7724 Irrigator Sleeve with Belt Tabs Includes Clamp Box of 20 � � HCPCS: A4397 Stock No Opening Size 7728 7724 2" (51 mm) 3" (76 mm) Length 22" (56 cm) 22" (56 cm) Loop Ostomy Bridge 7767 Loop Ostomy Bridge — Sterile Box of 20 � HCPCS: A4421 Stock No 7767 70 Hollister Incorporated 1.888.740.8999 Replacement Filters 7766 Box of 5 Packs Hollister Replacement Filters For use with 366x, 383x and 389x 1 pack contains 20 Filters and 2 Plugs � � � HCPCS: A4368 Stock No 7766 Bedside Drainage Collection System with Anti-Reflux Valve 9839 Sample Port Sterile Fluid Pathway Box of 20 � � HCPCS: A4357 Stock No Description 9839 68 oz (2000 mL) Capacity Skin Barrier Pastes and Powders 7910 Karaya 5 Paste Box of 12 � HCPCS: A4405 Stock No Description 7910 4.5 oz (135 mL) tube 7905 Karaya 5 Powder Box of 12 � HCPCS: A4371 Stock No Description 7905 2.5 oz (75 mL) puff bottle Skin Barriers 7800 Premium (standard wear) Skin Barrier Box of 5 � HCPCS: A4362 Stock No Size 7800 4 x 4" (10 cm x 10 cm) 7700 HolliHesive (standard wear) Skin Barrier Box of 5 � HCPCS: A4362 Stock No Size 7700 4 x 4" (10 cm x 10 cm) www.hollister.com Hollister Incorporated 71 CenterPointLock Two-Piece Pouching System Letter Matching System To help you select compatible CenterPointLock Two-Piece System components, every CenterPointLock System product box label features a letter designation: H, I, J, K, or L. Once you’ve selected a CenterPointLock Two-Piece System Skin Barrier, select a pouch, irrigator drain, or stoma cap with a matching letter on the box label. Flat Skin Barriers with Floating Flanges 872x (CUT-TO-FIT) Box of 5 Flextend (extended wear) Skin Barrier, Flat, Tape Border � HCPCS: A4409 Stock No 8727 8722 8723 8724 Letter Match Flange Size H I J K 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) Barrier Opening up to 1" (25 mm) up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) 875x (CUT-TO-FIT) Flextend (extended wear) Skin Barrier, Flat, Without Tape Border Box of 5 � HCPCS FOR 8752, 8753 & 8757: A4409 HCPCS FOR 8754: A4410 Stock No 8752 8753 8754 Letter Match Flange Size I J K 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) Barrier Opening up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) 372x (CUT-TO-FIT) Box of 5 FlexWear (standard wear) Skin Barrier, Flat, Tape Border � HCPCS FOR 3722-3724 & 3727: A4414 HCPCS FOR 3726: A4415 Stock No 3727 3722 3723 3724 3726 Letter Match H I J K L Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) 4" (102 mm) Barrier Opening up to 1" (25 mm) up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) up to 3-1/2" (89 mm) 376x (CUT-TO-FIT) SoftFlex (standard wear) Skin Barrier, Flat, Without Tape Border Box of 5 � HCPCS FOR 3762, 3763 & 3767: A4414 HCPCS FOR 3764 & 3766: A4415 Stock No 3767 3762 3763 3764 3766 72 Letter Match H I J K L Hollister Incorporated Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) 4" (102 mm) Barrier Opening up to 1" (25 mm) up to 1-1/4" (32 mm) up to 1-3/4" (44 mm) up to 2-1/4" (57 mm) up to 3-1/2" (89 mm) 1.888.740.8999 Flat Skin Barriers with Floating Flanges (continued) 370x (CUT-TO-FIT) Box of 5 HolliHesive (standard wear) Skin Barrier, Flat, Tape Border � HCPCS FOR 3702-3704 & 3707: A4414 HCPCS FOR 3706: A4415 Stock No 3707 3702 3703 3704 3706 Letter Match H I J K L Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) 4" (102 mm) Barrier Opening up to 3/4" (19 mm) up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm) up to 3-1/4" (82 mm) 874x (PRE-SIZED) Box of 5 Flextend (extended wear) Skin Barrier, Flat, Tape Border � HCPCS: A4409 Stock No 8743 8744 8745 8746 8747 8748 Letter Match Flange Size Barrier Opening H H I I J J 1-1/2" (38 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-1/4" (57 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 374x (PRE-SIZED) Box of 5 FlexWear (standard wear) Skin Barrier, Flat, Tape Border � HCPCS: A4414 Stock No 3747 3742 3748 3743 3749 Letter Match Flange Size Barrier Opening H H I J J 1-1/2" (38 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-1/4" (57 mm) 3/4" (19 mm) 1" (25 mm) 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) Convex Skin Barriers with Floating Flanges 877x (CUT-TO-FIT) Box of 5 Flextend (extended wear) Skin Barrier, Convex, Tape Border � HCPCS: A4407 Stock No 8774 8778 87711 Letter Match Flange Size I J K 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) Barrier Opening up to 1" (25 mm) up to 1-1/2" (38 mm) up to 2" (51 mm) 873x (PRE-SIZED) Box of 5 Flextend (extended wear) Skin Barrier, Convex, Tape Border � HCPCS: A4407 Stock No 8731 8732 8733 8734 8735 8736 8737 8738 Letter Match Flange Size Barrier Opening H H I I J J J J 1-1/2" (38 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-1/4" (57 mm) 2-1/4" (57 mm) 2-1/4" (57 mm) 5/8" (16 mm) 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) convex product www.hollister.com Hollister Incorporated 73 CenterPointLock Two-Piece Pouching System Convex Skin Barriers with Floating Flanges (continued) 373x (PRE-SIZED) Box of 5 FlexWear (standard wear) Skin Barrier, Convex, Tape Border � HCPCS: A4373 Stock No 3730 3731 3732 3733 3734 3735 3736 3737 3738 3739 37310 37311 Letter Match Flange Size Barrier Opening H H H I I J J J J K K K 1-1/2" (38 mm) 1-1/2" (38 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-1/4" (57 mm) 2-1/4" (57 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) 2-3/4" (70 mm) 2-3/4" (70 mm) 1/2" (13 mm) 5/8" (16 mm) 3/4" (19 mm) 7/8" (22 mm) 1" (25 mm) 1-1/8" (29 mm) 1-1/4" (32 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 1-5/8" (41 mm) 1-3/4" (44 mm) 2" (51 mm) Drainable Pouches 389x/383x Box of 10 Drainable Pouch, Replaceable Filter, Clamp Closure, Odor-Barrier Rustle-Free Film, Belt Tabs, Without ComfortWear Panels. Includes 1 Bag of 20 Hollister Replacement Filters and 2 Plugs, #7766 � HCPCS: A4425 + A4368 Transparent Stock No 3897 3892 3893 3894 Beige Stock No Letter Match Flange Size 3837 3832 3833 3834 H I J K 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 881x Box of 10 Drainable Pouch, Without Integrated Filter, Clamp Closure, Odor-Barrier Rustle-Free Film, Belt Tabs, ComfortWear Panels — Both Sides � HCPCS: A5063 Beige Stock No Letter Match Flange Size H I J K 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) 8817 8812 8813 8814 Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 380x/381x Box of 10 Drainable Pouch, Without Integrated Filter, Clamp Closure, Odor-Barrier Rustle-Free Film, Belt Tabs, Without ComfortWear Panels � HCPCS: A5063 Transparent Stock No 3807 3802 3803 3804 3806 Beige Stock No Letter Match Flange Size 3817 3812 3813 3814 — H I J K L 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) 4" (102 mm) Pouch Length 11" (28 cm) 11" (28 cm) 11" (28 cm) 11" (28 cm) 11" (28 cm) convex product 74 Hollister Incorporated 1.888.740.8999 Drainable Pouches (continued) 387x Box of 10 High Output Drainable Pouch, Without Integrated Filter, Clamp Closure, Odor-Barrier Film, Belt Tabs Without ComfortWear Panels � HCPCS: A4412 Transparent Stock No Letter Match Flange Size I J K 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) 3872 3873 3874 Pouch Length 16" (40 cm) 16" (40 cm) 16" (40 cm) 384x Box of 10 Drainable Mini-Pouch, Without Integrated Filter, Clamp Closure, Odor-Barrier Rustle-Free Film, Belt Tabs, Without ComfortWear Panels � HCPCS: A5063 Beige Stock No Letter Match Flange Size H I J K 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) 3847 3842 3843 3844 Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) Closed Pouches 834x Box of 15 Closed Pouch, Integrated Filter, Odor-Barrier Rustle-Free Film, Belt Tabs, ComfortWear Panels — Both Sides � HCPCS: A4419 Beige Stock No Letter Match Flange Size H I J K 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) 8347 8342 8343 8344 Pouch Length 7-1/2" (19 cm) 7-1/2" (19 cm) 7-1/2" (19 cm) 7-1/2" (19 cm) 334x Box of 15 Closed Pouch, Integrated Filter, Odor-Barrier Rustle-Free Film, Belt Tabs, Without ComfortWear Panels � HCPCS: A4419 Beige Stock No Letter Match Flange Size H I J K 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) 3347 3342 3343 3344 Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) Urostomy Pouches 890x Box of 10 Urostomy Pouch, Odor-Barrier Rustle-Free Film, Belt Tabs, ComfortWear Panels — Both Sides � HCPCS: A4432 Beige Stock No 8902 8903 Letter Match Flange Size I J 1-3/4" (44 mm) 2-1/4" (57 mm) www.hollister.com Pouch Length 9" (23 cm) 9" (23 cm) Hollister Incorporated 75 CenterPointLock Two-Piece Pouching System Urostomy Pouches (continued) 390x Box of 10 Urostomy Pouch, Odor-Barrier Rustle-Free Film, Belt Tabs, Without ComfortWear Panels � HCPCS: A4432 Transparent Stock No 3907 3902 3903 3904 Letter Match Flange Size H I J K 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) Stoma Cap 340x Box of 25 Stoma Cap, Integrated Filter, Odor-Barrier Rustle-Free Film Without ComfortWear Panels � HCPCS: A5055 Beige Stock No 3407 3402 3403 3404 Letter Match Flange Size H I J K 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) Pouch Length 4-1/2" (11 cm) 4-1/2" (11 cm) 4-1/2" (11 cm) 4-1/2" (11 cm) Irrigator Sleeve 382x Irrigator Sleeve, Belt Tabs Includes clamp Box of 5 � � HCPCS: A4397 Transparent Stock No 3827 3822 3823 3824 3826 76 Letter Match H I J K L Hollister Incorporated Flange Size 1-1/2" (38 mm) 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) 4" (102 mm) Pouch Length 30" (76 cm) 30" (76 cm) 30" (76 cm) 30" (76 cm) 30" (76 cm) 1.888.740.8999 Karaya 5 One-Piece Pouching System Drainable Pouches 366x (PRE-SIZED) Box of 10 Drainable Pouch, Karaya 5 (standard wear) Skin Barrier — Convex, Tape Border, Replaceable Filter, Pouch Clamp Closure, Odor-Barrier Rustle-Free Film, Belt Tabs, Without ComfortWear Panels. Includes 1 Bag of 20 Hollister Replacement Filters and 2 Plugs, #7766 � HCPCS: A4389 + A4368 Transparent Stock No 3662 3668 3663 3669 3664 3665 Pouch Size 1" (25 mm) 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) 2-1/2" (64 mm) Barrier Opening 5/8" (16 mm) 7/8" (22 mm) 1-1/8" (29 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 2" (51 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 360x (PRE-SIZED) Box of 10 Drainable Pouch, Karaya 5 (standard wear) Skin Barrier — Convex, Tape Border, Without Integrated Filter, Pouch Clamp Closure, Odor-Barrier Rustle-Free Film, Belt Tabs, Without ComfortWear Panels � HCPCS: A4389 Transparent Stock No 3608 3603 3609 3604 3605 3606 Pouch Size Barrier Opening 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) 2-1/2" (64 mm) 3" (76 mm) 7/8" (22 mm) 1-1/8" (29 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 2" (51 mm) 2-1/2" (64 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 323x (PRE-SIZED) Box of 30 Drainable Mini-Pouch, Karaya 5 (standard wear) Skin Barrier — Convex, Tape Border, Without Integrated Filter, Pouch Clamp Closure, Odor-Barrier Film, Belt Tabs, Without ComfortWear Panels � HCPCS: A4389 Transparent Stock No 3232 3238 3233 3239 3234 Pouch Size Barrier Opening 1" (25 mm) 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) 5/8" (16 mm) 7/8" (22 mm) 1-1/8" (29 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 322x (PRE-SIZED) Box of 30 Drainable Pouch, Karaya 5 (standard wear) Skin Barrier — Convex, Tape Border, Without Integrated Filter, Pouch Clamp Closure, Odor-Barrier Film, Belt Tabs, Without ComfortWear Panels � HCPCS: A4389 Transparent Stock No 3222 3228 3223 3229 3224 3225 3226 Pouch Size Barrier Opening 1" (25 mm) 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) 2-1/2" (64 mm) 3" (76 mm) 5/8" (16 mm) 7/8" (22 mm) 1-1/8" (29 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 2" (51 mm) 2-1/2" (64 mm) Pouch Length 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) 12" (30 cm) convex product www.hollister.com Hollister Incorporated 77 Karaya 5 One-Piece Pouching System Drainable Pouches (continued) 327x (PRE-SIZED) Box of 30 Drainable Pouch, Karaya 5 (standard wear) Skin Barrier — Convex, Tape Border, Without Integrated Filter, Pouch Clamp Closure, Odor-Barrier Film, Belt Tabs, Without ComfortWear Panels � HCPCS: A4389 Transparent Stock No 3278 3273 3279 3274 3275 3276 Pouch Size Barrier Opening 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) 2-1/2" (64 mm) 3" (76 mm) 7/8" (22 mm) 1-1/8" (29 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 2" (51 mm) 2-1/2" (64 mm) Pouch Length 16" (40 cm) 16" (40 cm) 16" (40 cm) 16" (40 cm) 16" (40 cm) 16" (40 cm) Closed Pouches 332x (PRE-SIZED) Box of 30 Closed Pouch, Karaya 5 (standard wear) Skin Barrier — Convex, Tape Border, Integrated Filter, Odor-Barrier Film, Belt Tabs, Without ComfortWear Panels � HCPCS: A4417 Transparent Stock No 3328 3323 3329 3324 3325 3326 Pouch Size Barrier Opening 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) 2-1/2" (64 mm) 3" (76 mm) 7/8" (22 mm) 1-1/8" (29 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 2" (51 mm) 2-1/2" (64 mm) Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 716x (PRE-SIZED) Box of 30 Closed Pouch, Karaya 5 (standard wear) Skin Barrier — Convex, Without Tape Border, Without Integrated Filter, Odor-Barrier Film, Belt Tabs, Without ComfortWear Panels � HCPCS: A4387 Transparent Stock No 7168 7163 7169 7164 7165 7166 Pouch Size Barrier Opening 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) 2-1/2" (64 mm) 3" (76 mm) 7/8" (22 mm) 1-1/8" (29 mm) 1-3/8" (35 mm) 1-1/2" (38 mm) 2" (51 mm) 2-1/2" (64 mm) Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) Urostomy Pouches 143x (PRE-SIZED) Box of 10 Urostomy Pouch, Karaya 5 (standard wear) Skin Barrier — Convex, Tape Border, Odor-Barrier Film, Belt Tabs, Without ComfortWear Panels � HCPCS: A4429 Transparent Stock No 1432 1438 1433 1439 1434 Pouch Size 1"(25 mm) 1-1/4"(32 mm) 1-1/2"(38 mm) 1-3/4"(44 mm) 2"(51 mm) Barrier Opening 5/8"(16 mm) 7/8"(22 mm) 1-1/8"(29 mm) 1-3/8"(35 mm) 1-1/2"(38 mm) Pouch Length 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) 9" (23 cm) convex product 78 Hollister Incorporated 1.888.740.8999 Other One-Piece Pouching System Closed Pouches 314x (PRE-SIZED) Box of 30 Closed Mini-Pouch, Tape Adhesive, Integrated Filter, Odor-Barrier Film, Without ComfortWear Panels � Transparent Stock No 3142 3148 3143 3149 3144 HCPCS: A4418 Barrier Opening Pouch Length 1" (25 mm) 1-1/4" (32 mm) 1-1/2" (38 mm) 1-3/4" (44 mm) 2" (51 mm) 7" (18 cm) 7" (18 cm) 7" (18 cm) 7" (18 cm) 7" (18 cm) Stoma Cap 318x (PRE-SIZED) Box of 30 Stoma Cap, Tape Adhesive, Integrated Filter, Odor-Barrier Film, Without ComfortWear Panels � HCPCS: A5055 Beige Stock No 3184 3186 Opening 2" (51 mm) 3" (76 mm) www.hollister.com Size 4-1/4" (11 cm) 4-1/4" (11 cm) Hollister Incorporated 79 Glossary • Ostomy Care AF300 Filter: “AF” stands for Air Flow and “300” represents the 300 mm2 air flow surface area on every AF300 Filter Closed Pouch: A pouch without a spout or a clamp. Quick and easy to discard. It must be removed to be emptied Colostomy: An ostomy (surgical opening) created in the colon, part of the large intestine ComfortWear Pouch Panels: Lining over the plastic of the pouch to enhance comfort and discretion. The soft pouch panels may be on one or both sides of the pouch Convex Skin Barrier: May be used when the stoma does not protrude from the abdomen. The skin barrier is shaped to press more deeply around the stoma Cut-to-Fit Skin Barrier: A skin barrier that can be cut to the right size and shape for the stoma by using a scissors Drainable Pouch: A pouch with an opening at the bottom. An integrated closure or clamp is used to keep the pouch closed until it’s time to empty it Extended Wear Skin Barrier: Skin barriers with special additives that achieve a stronger adhesive seal and are more resistant to breakdown. Skin barrier of choice for urostomies and ileostomies. Flextend and FormaFlex are examples. It is not recommended to use skin-prepping agents under extended wear skin barriers Filter: Lets gas but not odor out of pouch. The key performance factors of any filter are air flow, deodorization, and liquid protection Flange: The plastic ring in a two-piece ostomy system that is used to connect the two parts together Flat Skin Barrier: May be used when the stoma does protrude from the abdomen Flextend Skin Barrier: Flextend is an extended wear skin barrier that is durable and offers high resistance to erosion. It swells when it comes in contact with liquid to help form a seal between the skin and the stoma. It offers strong adhesion and flexibility FlexWear Skin Barrier: FlexWear is a standard wear skin barrier that provides moderate adhesion, and offers a good balance of durability and gentleness. It is designed to be worn more than one day and tends to hold its shape in the presence of fluids Floating Flange: Allows for fingers to be put under the flange for support while attaching the pouch to the barrier on a two-piece pouching system. The New Image system has an integrated floating flange FormaFlex Skin Barrier: An extended wear skin barrier which is resistant to discharge. It has the ability to be stretched to fit the size and shape of the stoma without the use of a scissors. Found as an option in the New Image two-piece system Ileostomy: An ostomy (surgical opening) created in the small intestine 80 Hollister Incorporated 1.888.740.8999 Irrigation: A procedure used to control the time of elimination from colostomy. It is not for everyone and requires special equipment and teaching Karaya 5 Skin Barrier: Karaya is a natural skin barrier that is well-suited for thin, fragile, and sensitive skin or in some cases where irritant dermatitis has occurred. It is mildly adhesive and needs a belt or tape to secure the pouching system Lock ’n Roll Microseal Closure: An integrated system for closing the bottom of drainable pouches. This system utilizes plastic interlocking microseals to create a secure closure. Found on New Image, Premier, and Pouchkins drainable pouches Odor-Barrier Pouch: Odor-Barrier Pouch is highly resistant in allowing odors to pass through the pouch film. The Odor-Barrier quality increases confidence when wearing a pouch Pre-Sized Skin Barrier: A skin barrier that is already cut to the proper size if stoma is round QuietWear Pouch Material: A Hollister Technology that is comprised of a pouch film and ComfortWear panel that are laminated together. This special design results in the reduction of the pouch rustling noise Rustle-Free Pouch: Rustle-Free Pouch provides for ultimate discretion since the pouch does not make noise during normal wear Shape-To-Fit: A skin barrier that can be stretched to the shape and size of the stoma. This skin barrier does not require use of a scissors. A possible choice when the stoma is not round or still changing sizes Skin Barrier: Portion of the pouching system that protects the skin from contact with the discharge. It also provides an adhesive attachment for the pouching system to the body. Examples include Flextend, FlexWear, SoftFlex, and FormaFlex SoftFlex Skin Barrier: SoftFlex is a standard wear skin barrier, which has an adhesive that is gentle to the skin, and allows for frequent pouch changes. It offers lower erosion resistance, and is thin and flexible without compromising security Standard Wear Skin Barrier: Provides a gentle adhesive attachment to the skin. These skin barriers absorb less and disintegrate faster than extended wear skin barriers. Examples include FlexWear and SoftFlex Stoma: The place where the drainage comes out of the body when you have an ostomy. The stoma is red and moist and doesn’t have feeling Urostomy: An ostomy (surgical opening) created to drain urine Urostomy Pouch: Pouch with a drain tap at the bottom so urine can be emptied quickly and easily Wear Time: Wear time is the length of time a product can be worn before failure. Wear time varies widely based upon a variety of factors www.hollister.com Hollister Incorporated 81 Educational Resources Educational Resources Secure Start services are here for your patients every step of the way offering: r Dedicated Support r Education & Resources r Insurance Matching r Ostomy Products To learn more call 1.888.808.7456, or visit www.hollister.com/us/ostomy/ss Educational Resources • Ostomy All of the Hollister educational materials listed below are available on our website: www.hollister.com Educational DVDs Ostomy Educational Theatre Literature No 921901 Online Education Program available at www.hollister.com Living with a Stoma available at www.hollister.com Secure Start Video Diaries available at www.hollister.com Case Studies (also available online) For a complete description and current listing, visit the Nursing Education section found in the Healthcare Professional portion of our website, www.hollister.com. Accessories Literature No Adapt Lubricating Deodorant: A Novel Pouch Additive 907247a Adapt Lubricating Deodorant: Assessment of Performance 907247b Laboratory Measurements & User Appreciation of Adapt 907623 Barrier Rings Never Say No to Change: Making a Product Conversion 908802 A Ring is Not Just a Ring: Creative Uses of Ostomy Accessories 910704 Using the Adapt Barrier Ring for Stomal Bridges/Rods 910701 (online only) Using Adapt Barrier Rings for Mucocutaneous Separation 910702 (online only) C3Life.com Literature No Online Solutions: Closing the Gap in the Continuum of Care 910676 (online only) Convexity Literature No A Case for Soft Convexity (online only) 907022 Making Sense of Convexity (online only) 907502 Case Studies in Convexity (online only) 907526 Principles and Techniques in the Use of Convexity 907634 Cost Impact of Convexity on Ostomy Management (online only) 907655 Using Convexity in the Management of 910314 Complex Clinical Challenges Nursing Issues Literature No Study of Factors Affecting Pre-and Postoperative 907649 Health Self-Assessments in Ostomates (online only) Study of the Effect of WOC Nurse Care on Ostomate 907650 Adaptation and Perception of Life with Stoma (online only) Clinical Challenges Require Creative Solutions 911098 Evaluation of an Existing Ostomy Product Formulary: 921708 A Pilot Study Ostomy Filters Advanced Materials and Design for Improved Filter Performance (online only) 146 Hollister Incorporated Literature No 910293 1.888.740.8999 Pediatrics Product Adaptations in Pediatric Ostomy Care Literature No 908803 Psychosocial Adaptation Literature No Overcoming Life Discontinuity Following Ileostomy Surgery 908804 (online only) Associations between Financial Responsibility for Ostomy 910291 Pouching Systems, Pouching System Change Habits and Peristomal Skin Condition (online only) Post-Surgery Return to Sexual Activity (online only) 910296 Post-Surgery Social Isolation (online only) 910298 Ostomate Recollections of What They Really Needed to 910301 Know After Surgery (online only) Body Image Perception and Peristomal Skin Condition as 910741 Quality of Life Issues (online only) Quality of Life and Influencing Factors in Ostomates Less 910777 Than 24 Months Post-Surgery (online only) Social Isolation: The Association Between Low Life 910778 Satisfaction and Social Connectivity (online only) An Association Between Continuing Treatment and 910779 Adaptation in Ostomates (online only) An Association Between Peristomal Skin Condition 910780 and Life Satisfaction in New Ostomates (online only) Secure Start Services Literature No Partnering to Improve Ostomy Patient Outcomes (online only) 908801 Excellence in Care: Partnerships for Better Outcomes 910327 Providing Ostomy Care Across the Continuum 910672 The Secure Start Program: Making a Difference in the 911138 Continuum of Care The Continuum of Care: Demonstrating Positive 911095 Outcomes through the Hollister Secure Start Program Skin Barriers Literature No Formulating Hydrocolloid Skin Barriers for 907661 pH Control (online only) Preliminary Studies on the Skin Biophysics and Ostomy Skin 910286 Barriers. Part 2 – Feasibility of Measuring Peel Force and Skin Properties Comparing Peristomal to Normal Surround Skin (online only) Preliminary Studies on the Skin Biophysics and Ostomy Skin 910288 Barriers. Part 1 – Relationship between Peel Force, Quantitative Measures of Skin Damage and Subjective Discomfort using the Abdomen as the Test Site (online only) Studies on Skin Biophysics and Ostomy Skin Barriers: 910776 Comparison of Peel Force Measurements and Skin Structure Between Peristomal and Normal Surrounding Skin (online only) The Shape of Things to Come: An Alternative to 921705 Cut-to-Fit Barriers Peristomal Skin and Tape: Stick to the Facts 921714 Stoma Sizing Guide www.hollister.com 903515 Hollister Incorporated 147 Educational Resources • Ostomy Instructional Materials Literature No Understanding Your Colostomy Booklet 907411 Understanding Your Ileostomy Booklet 907412 Understanding Your Urostomy Booklet 907413 Understanding Your Colostomy/Ileostomy/ 909961 Urostomy Booklet (English) (online only) Understanding Your Colostomy/Ileostomy/ 910130 Urostomy Booklet (Spanish) (online only) Understanding Your Colostomy/Ileostomy/ 910813 Urostomy Booklet (Russian) (online only) NEW! Understanding Your Colostomy/Ileostomy/ 921793 Urostomy Booklet (Vietnamese) (online only) What’s Right? – Colostomy (English) (online only) 907590 What’s Right? – Colostomy (Spanish) (online only) 907242 What’s Right? – Ileostomy (English) (online only) 907602 What’s Right? – Ileostomy (Spanish) (online only) 907243 What’s Right? – Urostomy (English) (online only) 907603 What’s Right? – Urostomy (Spanish) (online only) 907244 Can They Still Wiggle and Giggle? Coloring Book 907617 The Day I Got My Stoma (online only) 910497 Caring for Your Child With an Ostomy – Pediatric (English) 907778 Caring for Your Child With an Ostomy – Pediatric (Spanish) 907809 Caring for Your Child With an Ostomy – Pediatric 907809 (French Canadian) (online only) Caring for your Loved One with an Ostomy 911085 Ostomy Care Tips (Pads of 25) Adapt Barrier Rings NEW! Adapt Oval Convex Barrier Rings and Adapt Convex Barrier Rings Adapt Lubricating Deodorant Adapt Ostomy Belt Adapt Paste Adapt Stoma Powder Colostomy Irrigation Using Convexity Fistula Management Ileostomy Dietary Guidelines Lock ’n Roll Microseal Closure (English) Lock ’n Roll Microseal Closure (Spanish) Medicare Reimbursement Guide One-Piece Pouching System One-Piece Pouching System (Spanish) Oval Cut-to-Fit Skin Barriers (online only) Patient Anatomy Guide Peristomal Skin Care/Complications 148 Hollister Incorporated Literature No 910395 910801 907428 911082 907249 907255 907254 907608 910398 910974 911126 911209 911046 910401 911172 910707 910396 907253 1.888.740.8999 Ostomy Care Tips (Pads of 25) (continued) Literature No Pouchkins One-Piece Pouching System 907874 Pouchkins Premie & Newborn Pouching System 907876 Pouchkins Two-Piece Pouching System 907875 Routine Care of Your Ostomy 910399 Routine Care of Your Ostomy (Spanish) 910800 Skin Barriers 906756 Skin Gel Wipes 907250 Stoma Complications 907252 Stoma Site Selection 910134 Two-Piece Pouching System 910402 Two-Piece Pouching System (Spanish) 911173 Two-Piece Pouching System with FormaFlex Skin Barrier 911296 Types of Ostomies 905756 Universal Catheter Access Port (UCAP) 921709 Lifestyle Booklets Skin Care for your Stoma: 3 Easy Steps to Maintaining Healthy Skin Good Eating Habits and Good Health with an Ostomy Sports and Fitness with an Ostomy Travel with an Ostomy Love and Sex for People with an Ostomy Maintaining Personal and Professional Relationships with an Ostomy Pregnancy and Childbirth with an Ostomy Secure Start Services Secure Start Newsletter Secure Start Preoperative Kit Secure Start Kit Literature No 907530 907531 907532 907533 907534 907535 907536 subscribe on www.hollister.com ask your Sales Specialist ask your Sales Specialist Shadow Buddies Light Skin Tone Girl Light Skin Tone Boy Medium Skin Tone Girl Medium Skin Tone Boy Dark Skin Tone Girl Dark Skin Tone Boy Item No 905439 905440 905441 905442 905443 905444 Additional Resources Choosing your Ostomy Products Stoma Model (White Plastic) Item No 921853 858674 Consumer Support Groups American Cancer Society (ACS) www.cancer.org Brenda Elsagher’s Website: www.livingandlaughing.com www.hollister.com Hollister Incorporated 149 Educational Resources • Ostomy Consumer Support Groups (continued) United Ostomy Associations of America, Inc. (UOAA) www.uoaa.org 1.800.826.0826 Crohn’s and Colitis Foundation of America (CCFA) www.ccfa.org 1.800.932.2423 C3Life www.C3Life.com Get Your Guts In Gear www.ibdride.org 1.866.9iGOTGUTS (944.6848) Shadow Buddies www.shadowbuddies.org 1.913.642.4646 Youth Rally Committee www.rally4youth.org Professional Organizations: Wound, Ostomy and Continence Nurses Society (WOCN) www.wocn.org 1.888.224.9626 150 Hollister Incorporated 1.888.740.8999 Index • Stock Number Stock No Page(s) 10xx. . . . . . . . . . . . . 92 1410x. . . . . . . . . . . . 27 1420x. . . . . . . . . . . . 25 143x. . . . . . . . . . . . . 78 1430x. . . . . . . . . . . . 26 1440x. . . . . . . . . . . . 28 1450x. . . . . . . . . . . . 29 1460x. . . . . . . . . . . . 25 1470x. . . . . . . . . . . . 26 1480x. . . . . . . . . . . . 28 149xx. . . . . . . . . . . . 29 1520x. . . . . . . . . . . . 25 1540x. . . . . . . . . . . . 28 1550x. . . . . . . . . . . . 29 1560x. . . . . . . . . . . . 25 1580x. . . . . . . . . . . . 28 1590x. . . . . . . . . . . . 29 1610x. . . . . . . . . . . . 26 1640x. . . . . . . . . . . . 26 1796 . . . . . . . . . . . . 51 1800x. . . . . . . . . . . . 30 1801x. . . . . . . . . . . . 32 1810x. . . . . . . . . . . . 31 1811x. . . . . . . . . . . . 30 1812x. . . . . . . . . . . . 31 1813x. . . . . . . . . . . . 30 1814x. . . . . . . . . . . . 31 1815x. . . . . . . . . . . . 33 1816x. . . . . . . . . . . . 31 1817x. . . . . . . . . . . . 31 1818x. . . . . . . . . . . . 30 1819x. . . . . . . . . . . . 30 1820x. . . . . . . . . . . . 31 1828x. . . . . . . . . . . . 30 18282 . . . . . . . . . . . 60 1829x. . . . . . . . . . . . 30 18292 . . . . . . . . . . . 60 1832x. . . . . . . . . . . . 32 1833x. . . . . . . . . . . . 33 1835x. . . . . . . . . . . . 33 1836x. . . . . . . . . . . . 32 1837x. . . . . . . . . . . . 32 1838x. . . . . . . . . . . . 32 18382 . . . . . . . . . . . 61 1839x. . . . . . . . . . . . 32 18392 . . . . . . . . . . . 61 1840x. . . . . . . . . . . . 33 18402 . . . . . . . . . . . 61 1841x. . . . . . . . . . . . 33 18412 . . . . . . . . . . . 61 1842x. . . . . . . . . . . . 33 1873x. . . . . . . . . . . . 33 1875x. . . . . . . . . . . . 33 1900x. . . . . . . . . . . . 34 1905x. . . . . . . . . . . . 35 1910x. . . . . . . . . . . . 34 162 Stock No Page(s) 1915x. . . . . . . . . . . . 35 1920x. . . . . . . . . . . . 34 1925x. . . . . . . . . . . . 35 31003 . . . . . . . . . . 109 31005 . . . . . . . . . . 109 31008 . . . . . . . . . . 109 31009 . . . . . . . . . . 109 314x. . . . . . . . . . . . . 79 318x. . . . . . . . . . . . . 79 32004 . . . . . . . . . . 108 32005 . . . . . . . . . . 108 32006 . . . . . . . . . . 108 32007 . . . . . . . . . . 108 322x. . . . . . . . . . . . . 77 323x. . . . . . . . . . . . . 77 327x. . . . . . . . . . . . . 78 33004 . . . . . . . . . . 108 332x. . . . . . . . . . . . . 78 334x. . . . . . . . . . . . . 75 340x. . . . . . . . . . . . . 76 360x. . . . . . . . . . . . . 77 366x. . . . . . . . . . . . . 77 370x. . . . . . . . . . . . . 73 372x. . . . . . . . . . . . . 72 373x. . . . . . . . . . . . . 74 374x. . . . . . . . . . . . . 73 376x. . . . . . . . . . . . . 72 3761 . . . . . . . . . . . . 60 3774 . . . . . . . . . . . . 61 3777 . . . . . . . . . . . . 59 3778 . . . . . . . . . . . . 59 3795 . . . . . . . . . . . . 59 3796 . . . . . . . . . . . . 59 3797 . . . . . . . . . . . . 60 3799 . . . . . . . . . . . . 60 380x. . . . . . . . . . . . . 74 381x. . . . . . . . . . . . . 74 382x. . . . . . . . . . . . . 76 383x. . . . . . . . . . . . . 74 384x. . . . . . . . . . . . . 75 387x. . . . . . . . . . . . . 75 389x. . . . . . . . . . . . . 74 390x. . . . . . . . . . . . . 76 506487 . . . . . . . . . 130 506488 . . . . . . . . . 130 506489 . . . . . . . . . 130 509338 . . . . . . . . . 130 509339 . . . . . . . . . 130 509341 . . . . . . . . . 130 509342 . . . . . . . . . 130 509343 . . . . . . . . . 131 509344 . . . . . . . . . 131 509345 . . . . . . . . . 131 509346 . . . . . . . . . 131 509347 . . . . . . . . . 131 509348 . . . . . . . . . 131 Hollister Incorporated Stock No Page(s) 509349 . . . . . . . . . 131 509372 . . . . . . . . . 132 509373 . . . . . . . . . 132 509374 . . . . . . . . . 132 509375 . . . . . . . . . 131 509376 . . . . . . . . . 131 509377 . . . . . . . . . 131 509378 . . . . . . . . . 130 509379 . . . . . . . . . 130 509380 . . . . . . . . . 133 509381 . . . . . . . . . 133 509382 . . . . . . . . . 133 509384 . . . . . . . . . 133 509387 . . . . . . . . . 133 509388 . . . . . . . . . 133 509389 . . . . . . . . . 133 509390 . . . . . . . . . 133 509393 . . . . . . . . . 133 509394 . . . . . . . . . 133 509395 . . . . . . . . . 133 509396 . . . . . . . . . 133 517210 . . . . . . 69, 138 517220 . . . . . . 70, 138 519904 . . . . . . . . . 136 519906 . . . . . . . . . 136 519921 . . . . . . . . . 136 519923 . . . . . . . . . 136 519925 . . . . . . . . . 136 519930 . . . . . . . . . 136 519932 . . . . . . . . . 136 519935 . . . . . . . . . 136 519953 . . . . . . . . . 136 519954 . . . . . . . . . 136 519955 . . . . . . . . . 136 519956 . . . . . . . . . 136 519957 . . . . . . . . . 136 519958 . . . . . . . . . 136 519959 . . . . . . . . . 136 519963 . . . . . . . . . 136 519965 . . . . . . . . . 136 529300 . . . . . . . . . 134 529301 . . . . . . . . . 134 529302 . . . . . . . . . 134 529303 . . . . . . . . . 134 529304 . . . . . . . . . 134 529305 . . . . . . . . . 134 529306 . . . . . . . . . 134 529937 . . . . . . . . . 135 529938 . . . . . . . . . 135 529939 . . . . . . . . . 135 529940 . . . . . . . . . 135 529967 . . . . . . . . . 135 529968 . . . . . . . . . 135 529969 . . . . . . . . . 135 529972 . . . . . . . . . 135 529973 . . . . . . . . . 135 1.888.740.8999 Stock No Page(s) 529974 . . . . . . . . . 135 529975 . . . . . . . . . 137 529976 . . . . . . . . . 137 529977 . . . . . . . . . 138 529978 . . . . . . . . . 138 529979 . . . . . . . . . 138 716x. . . . . . . . . . . . . 78 7299 . . . . . . . . . . . . 68 7300 . . . . . . . . . . . . 68 7331 . . . . . . . . . . . . 69 7700 . . . . . . . . . . . . 71 771x. . . . . . . . . . . . . 69 7721 . . . . . . . . . . . . 70 7723 . . . . . . . . . . . . 70 7724 . . . . . . . . . . . . 70 7728 . . . . . . . . . . . . 70 773x. . . . . . . . . . . . . 69 7730 . . . . . . . . . . . . 68 7731 . . . . . . . . . . . . 68 7736 . . . . . . . . . . . . 69 7740 . . . . . . . . . . . . 70 7760 . . . . . . . . . . . . 68 7766 . . . . . . . . . . . . 71 7767 . . . . . . . . . . . . 70 780x. . . . . . . . . . . . . 67 7800 . . . . . . . . . . . . 71 78500 . . . . . . . . . . . 67 78501 . . . . . . . . . . . 67 7905 . . . . . . . . . . . . 71 7906 . . . . . . . . . . . . 67 7910 . . . . . . . . . . . . 71 7917 . . . . . . . . . . . . 68 79300 . . . . . . . . . . . 67 79301 . . . . . . . . . . . 67 79400 . . . . . . . . . . . 67 795xx. . . . . . . . . . . . 67 796xx. . . . . . . . . . . . 67 80xx. . . . . . . . . . . . . 45 8031 . . . . . . . . . . . . 42 8081 . . . . . . . . . . . . 42 81xx. . . . . . . . . . . . . 45 8131 . . . . . . . . . . . . 42 8181 . . . . . . . . . . . . 42 80110 . . . . . . . . . . . 48 80070 . . . . . . . . . . . 48 81070 . . . . . . . . . . . 48 81110 . . . . . . . . . . . 48 821xx. . . . . . . . . . . . 51 82100 . . . . . . . . . . . 50 823xx. . . . . . . . . . . . 50 82300 . . . . . . . . . . . 50 82302 . . . . . . . . . . . 50 82400 . . . . . . . . . . . 50 82402 . . . . . . . . . . . 50 82500 . . . . . . . . . . . 50 8331 . . . . . . . . . . . . 41 www.hollister.com Stock No Page(s) 834x. . . . . . . . . . . . . 75 843x. . . . . . . . . . . . . 52 844x. . . . . . . . . . . . . 51 8440 . . . . . . . . . . . . 51 8450 . . . . . . . . . . . . 51 8460 . . . . . . . . . . . . 51 846x. . . . . . . . . . . . . 51 847x. . . . . . . . . . . . . 52 848x. . . . . . . . . . . . . 52 849x. . . . . . . . . . . . . 52 850x. . . . . . . . . . . . . 46 851x. . . . . . . . . . . . . 47 852x. . . . . . . . . . . . . 46 853x. . . . . . . . . . . . . 44 8531 . . . . . . . . . . . . 41 855x. . . . . . . . . . . . . 44 8551 . . . . . . . . . . . . 41 858x. . . . . . . . . . . . . 46 859x. . . . . . . . . . . . . 47 861x. . . . . . . . . . . . . 47 862x. . . . . . . . . . . . . 47 8631 . . . . . . . . . . . . 41 863x. . . . . . . . . . . . . 44 8641 . . . . . . . . . . . . 41 864x. . . . . . . . . . . . . 45 8651 . . . . . . . . . . . . 41 872x. . . . . . . . . . . . . 72 873x. . . . . . . . . . . . . 73 874x. . . . . . . . . . . . . 73 875x. . . . . . . . . . . . . 72 877x. . . . . . . . . . . . . 73 8770 . . . . . . . . . . . . 69 8800 . . . . . . . . . . . . 68 8801 . . . . . . . . . . . . 68 881x. . . . . . . . . . . . . 74 883xx. . . . . . . . . . . . 45 88300 . . . . . . . . . . . 42 88302 . . . . . . . . . . . 43 884xx. . . . . . . . . . . . 45 88400 . . . . . . . . . . . 42 88401 . . . . . . . . . . . 43 88402 . . . . . . . . . . . 43 88501 . . . . . . . . . . . 44 887xx. . . . . . . . . . . . 46 88700 . . . . . . . . . . . 43 88800 . . . . . . . . . . . 43 890x. . . . . . . . . . . . . 75 89001 . . . . . . . . . . . 52 89002 . . . . . . . . . . . 53 89003 . . . . . . . . . . . 53 89004 . . . . . . . . . . . 53 89005 . . . . . . . . . . . 53 910x. . . . . . . . . . . . . 95 920x. . . . . . . . . . . . . 95 931xx. . . . . . . . . . . . 94 9342 . . . . . . . . . . . . 97 Stock No Page(s) 9343 . . . . . . . . . . . . 97 9345 . . . . . . . . . . . . 97 9346 . . . . . . . . . . . . 97 9348 . . . . . . . . . . . . 96 9349 . . . . . . . . . . . . 96 940xx. . . . . . . . . . . . 94 941xx. . . . . . . . . . . . 94 951xx. . . . . . . . . . . . 94 960xx. . . . . . . . . . . . 94 961xx. . . . . . . . . . . . 94 9645 . . . . . . . . . . . . 96 9655 . . . . . . . . . . . . 96 970x. . . . . . . . . . . . . 49 971xx. . . . . . . . . . . . 94 974xx. . . . . . . . . . . . 95 975xx. . . . . . . . . . . . 95 976xx. . . . . . . . . . . . 95 977x. . . . . . . . . . . . . 49 977xx. . . . . . . . . . . . 95 9779 . . . . . . . . . . . . 49 978xx. . . . . . . . . . . . 95 9780 . . . . . . . . . . . 116 9781 . . . . . . . . . . . 115 9782 . . . . . . . . . . . 115 9785 . . . . . . . . . . . 116 9786 . . . . . . . . . . . 116 9788 . . . . . . . . . . . 115 979xx. . . . . . . . . . . . 95 9799 . . . . . . . . . . . 115 9805 . . . . . . . . . . . . 96 9811 . . . . . . . . . . . . 98 9814 . . . . . . . . . . . . 96 9821 . . . . . . . . . . . 110 9822 . . . . . . . . . . . 110 9823 . . . . . . . . . . . 110 9839 . . . . . . . . . 71, 98 9840 . . . . . . . . . . . . 98 9873 . . . . . . . . . . . . 98 9880 . . . . . . . . . . . 110 Bxxx. . . . . . . . . . . . . 93 BxxxB. . . . . . . . . . . . 93 HB2214 . . . . . . . . . 129 HB4414 . . . . . . . . . 129 HB6614 . . . . . . . . . 129 HBT0906 . . . . . . . . 129 HBHD4450. . . . . . . 129 HBHD6675. . . . . . . 129 HBRF4414 . . . . . . . 129 HBRF2258 . . . . . . . 129 HBRF4475 . . . . . . . 129 HBRF2650 . . . . . . . 129 Hollister Incorporated 163 Index • Product Name Name Page(s) ActiFlo Accessories............................................................................................109 ActiFlo Catheter Kits with Disposable Odor-Barrier Collection Bags.......................108 ActiFlo Catheter Kits with Drainable Odor-Barrier Collection Bag..........................108 Adapt Odor Eliminator and Lubricant.....................................................................67 Adapt Ostomy Belts..............................................................................................68 Adapt Skin Barrier Accessories.............................................................................67 Adapt Skin Barrier Paste.......................................................................................67 Adapt Stoma Powder............................................................................................67 Adhesives and Removers......................................................................................68 Advance Plus Touch Free Intermittent Catheter.....................................................94 Advance Plus Touch Free Intermittent Catheter System.........................................94 Anchor Fast Oral Endotracheal Tube Fastener.....................................................115 Apogee Plus System.............................................................................................93 Apogee Plus System Kit........................................................................................93 Apogee Intermittent Catheter................................................................................92 Bedside Drainage Collection System with Anti-Reflux Valve............................ 71, 98 CenterPointLock Closed Pouches.........................................................................75 CenterPointLock Drainable Pouches............................................................... 74–75 CenterPointLock Flat Skin Barriers with Floating Flanges................................ 72–73 CenterPointLock Stoma Cap.................................................................................76 CenterPointLock Urostomy Pouches............................................................... 75–76 Convex Skin Barriers with Floating Flanges..................................................... 73–74 Drainable Pouch Clamp.......................................................................................69 Drain Tube Attachment Device............................................................................116 Everyday Male External Catheter..........................................................................95 Extended Wear Male External Catheter..................................................................95 Fabric Leg Bag Straps.........................................................................................97 Fecal Collectors..................................................................................................110 Feeding Tube Attachment Device........................................................................116 Female Urinary Pouch External Collection Device...................................................98 Hollister Universal Catheter Access Port...............................................................49 Horizontal Tube Attachment Device.....................................................................115 Hydrofera Blue Foam Dressings..........................................................................129 InstaFlo Catheter Kit...........................................................................................108 InView Male External Catheters.............................................................................95 Irrigation Products................................................................................................70 Irrigator Sleeve.....................................................................................................76 Karaya 5 Closed Pouches....................................................................................78 Karaya 5 Drainable Pouches.......................................................................... 77–78 Karaya 5 Urostomy Pouches.................................................................................78 Latex-Free Extension Tubing................................................................................97 Loop Ostomy Bridge.............................................................................................70 m9 Cleaner/Decrystallizer....................................................................................69 m9 Odor Eliminators.............................................................................................68 Male Urinary Pouch External Collection Device......................................................98 164 Hollister Incorporated 1.888.740.8999 Name Page(s) New Image Closed Pouches.......................................................................... 32–33 New Image Convex Skin Barriers with Integrated Floating Flanges.................. 28–29 New Image Drainable Pouches...................................................................... 30–31 New Image Flat Skin Barriers with Integrated Floating Flanges........................ 25–27 New Image High Output Drainable Pouches..........................................................32 New Image Irrigator Sleeve...................................................................................33 New Image Non Sterile Kits — Drainable..............................................................34 New Image Non Sterile Kits — Urostomy..............................................................34 New Image Sterile Kits — Drainable.....................................................................35 New Image Sterile Kits — Urostomy.....................................................................35 New Image Urostomy Pouches.............................................................................33 Other Closed Pouches.........................................................................................79 Other Stoma Cap..................................................................................................79 Pouchkins Newborn Pouch..................................................................................59 Pouchkins One-Piece Pouches...................................................................... 59–60 Pouchkins Pediatric Ostomy Belt...........................................................................61 Pouchkins Premie Pouch......................................................................................59 Pouchkins Two-Piece Pouches...................................................................... 60–61 Pouchkins Two-Piece Skin Barrier.........................................................................60 Premier Closed Pouches................................................................................ 50–51 Premier Drainable Pouches with Convex Barriers............................................ 46–47 Premier Drainable Pouches with Flat Barriers................................................. 41–46 Premier High Output Drainable Pouches................................................................48 Premier Non Sterile Kits — Drainable............................................................ 52–53 Premier Non Sterile Kits — Urostomy...................................................................53 Premier Stoma Cap..............................................................................................51 Premier Urostomy Pouches with Convex Barriers...................................................52 Premier Urostomy Pouches with Flat Barriers........................................................51 Premier Wound Drainage Collectors......................................................................49 Replacement Filters.............................................................................................71 Restore Adhesive Foam Dressing with TRIACT Technology..................................131 Restore Calcium Alginate Dressing Silver............................................................135 Restore Calcium Alginate Dressing......................................................................135 Restore Cleanser & Moisturizer...........................................................................138 Restore Contact Layer Dressing with Silver and TRIACT Technology.....................130 Restore Contact Layer Dressing with TRIACT Technology.....................................130 Restore Contact Layer FLEX Dressing with TRIACT Technology............................130 Restore DimethiCreme Skin Protectant................................................................138 Restore DUO Absorbent Dressing with TRIACT Technology..................................131 Restore Extra Thin Hydrocolloid Dressing.............................................................136 Restore Foam Border Dressing Featuring TRIACT ADVANCED Technology............133 Restore Foam Dressing without Border...............................................................133 Featuring TRIACT ADVANCED Technology Restore Heel Dressing without Border...............................................................133 Restore Hydrocolloid Dressing.............................................................................136 Restore Hydrocolloid Dressing with Foam Backing...............................................136 Restore Hydrogel Dressing..................................................................................135 www.hollister.com Hollister Incorporated 165 Index • Product Name Name Page(s) Restore Hydro-Shield Foam Dressing..................................................................134 Restore Hydro-Shield Foam Dressing without Border...........................................134 Restore LITE Foam Dressing without Border........................................................133 Featuring TRIACT ADVANCED Technology Restore Non-Adhesive Foam Dressing with Silver and.........................................131 TRIACT Technology Restore Non-Adhesive Foam Dressing with TRIACT Technology...........................131 Restore Odor-Absorbent Dressing.......................................................................136 Restore Skin Care Products..................................................................................69 Restore Skin Cleanser................................................................................. 69, 138 Restore Skin Conditioning Creme........................................................................138 Restore TRIO Absorbent Dressing, Adhesive, with TRIACT Technology.................132 Restore Wound Cleanser....................................................................................137 Skin Barriers (Other)..................................................................................... 68, 71 Skin Barrier Pastes and Powders (Other)...............................................................71 Skin Prepping Product..........................................................................................68 Suction Tube Attachment Device........................................................................116 Urinary Leg Bag...................................................................................................96 Urinary Leg Bag Combination Pack.......................................................................96 Urostomy Drain Tube Adapter...............................................................................69 Vented Urinary Leg Bag Combination Pack...........................................................96 Vertical Tube Attachment Device.........................................................................115 166 Hollister Incorporated 1.888.740.8999 HCPCS Cod Index • HCPCS Codes HCPCS Page(s) A4326 . . . . . . . . . . . . . . . . . . . . . . 98 A4328 . . . . . . . . . . . . . . . . . . . . . . 98 A4330 . . . . . . . . . . . . . . . . . . . . . 110 A4331 . . . . . . . . . . . . . . . . . . . . . . 97 A4349 . . . . . . . . . . . . . . . . . . . . . . 95 A4351 . . . . . . . . . . . . . . . . . . . . . . 92 A4352 . . . . . . . . . . . . . . . . . . . . . . 92 A4353 . . . . . . . . . . . . . . . . . . . 93, 94 A4357 . . . . . . . . . . . . . . . . . . . 71, 98 A4358 . . . . . . . . . . . . . . . . . . . . . . 96 A4362 . . . . . . . . . . . . . . . . . . . 59, 71 A4363 . . . . . . . . . . . . . . . . . . . . . . 69 A4364 . . . . . . . . . . . . . . . . . . . . . . 68 A4367 . . . . . . . . . . . . . . . . . . . 61, 68 A4368 . . . . . . . . . . . . . . . . 71, 74, 77 A4371 . . . . . . . . . . . . . . . . . . . 67, 71 A4373 . . . . . . . . . . . . . . . . 28, 29, 74 A4385 . . . . . . . . . . . . . . . . . . . 67, 68 A4387 . . . . . . . . . . . . . . . . . . . . . . 78 A4388 . . . . . . . . . . . . . 41, 44, 45, 53 A4389 . . . . . . . . . . . . . . . . . . . 77, 78 A4390 . . . . . . . . . . . . . . . . . . . 46, 47 A4394 . . . . . . . . . . . . . . . . . . . 67, 69 A4397 . . . . . . . . . . . . . . . . 33, 70, 76 A4398 . . . . . . . . . . . . . . . . . . . . . . 70 A4399 . . . . . . . . . . . . . . . . . . . . . . 70 A4402 . . . . . . . . . . . . . . . . . . . . . . 70 A4405 . . . . . . . . . . . . . . . . . . . . . . 71 A4406 . . . . . . . . . . . . . . . . . . . . . . 67 A4407 . . . . . . . . . . . . . . . . 28, 29, 73 A4408 . . . . . . . . . . . . . . . . . . . . . . 28 A4409 . . . . 25, 26, 27, 34, 35, 72, 73 A4410 . . . . . . . . . . . . . . . . . . . 25, 72 A4411 . . . . . . . . . . . . . . . . . . . . . . 67 A4412 . . . . . . . . . . . . . . . . . . . 32, 75 A4414 . . . . 25, 26, 34, 35, 60, 72, 73 A4415 . . . . . . . . . . 25, 34, 35, 72, 73 A4416 . . . . . . . . . . . . . . . . . . . 50, 51 A4417 . . . . . . . . . . . . . . . . . . . . . . 78 A4418 . . . . . . . . . . . . . . . . . . . . . . 79 A4419 . . . . . . . . . . . . . . . . 32, 61, 75 A4421 . . . . . . . . . . . . . . . . . . . 69, 70 A4424 . . . . . . . . . . 42, 43, 45, 46, 59 A4425 . . . . . . . . . . . . . 30, 31, 60, 74 A4428 . . . . . . . . . . . . . . . . . . . 51, 53 A4429 . . . . . . . . . . . . . . . . . . . . . . 78 A4430 . . . . . . . . . . . . . . . . . . . . . . 52 A4432 . . . . . . . 33, 34, 35, 61, 75, 76 A4455 . . . . . . . . . . . . . . . . . . . . . . 68 A4456 . . . . . . . . . . . . . . . . . . . . . . 68 A5052 . . . . . . . . . . . . . . . . . . . . . . 59 A5054 . . . . . . . . . . . . . . . . . . . . . . 33 www.hollister.com HCPCS Page(s) A5055 . . . . . . . . . . . . . . . . 51, 76, 79 A5056 . . . . . . . . . . . . . . . . . . . . . . 41 A5057 . . . . . . . . . . . . . . . . . . . . . . 46 A5061 . . . . . . . 42, 43, 44, 52, 53, 59 A5062 . . . . . . . . . . . . . . . . . . . . . . 59 A5063 . . . . 30, 31, 34, 35, 60, 74, 75 A5071 . . . . . . . . . . . . . . . . . . . . . . 60 A5114 . . . . . . . . . . . . . . . . . . . . . . 97 A5120 . . . . . . . . . . . . . . . . . . . . . . 68 A5122 . . . . . . . . . . . . . . . . . . . . . . 68 A5131 . . . . . . . . . . . . . . . . . . . . . . 69 A5200 . . . . . . . . . . . . . . . . . 115, 116 A6154 . . . . . . . . . . . . . . . . . . . 48, 49 A6196 . . . . . . . . . . . . . . . . . . . . . 135 A6197 . . . . . . . . . . . . . . . . . . . . . 135 A6199 . . . . . . . . . . . . . . . . . . . . . 135 A6206 . . . . . . . . . . . . . . . . . . . . . 130 A6207 . . . . . . . . . . . . . . . . . . . . . 130 A6208 . . . . . . . . . . . . . . . . . . . . . 130 A6209 . . . . . 129, 131, 133, 134, 136 A6210 . . . . . . . . . 129, 131, 133, 134 A6211 . . . . . . . . . . . . . . . . . 134, 136 A6212 . . . . . . . . . 129, 131, 133, 134 A6213 . . . . . . . . . . . . . 131, 133, 134 A6215 . . . . . . . . . . . . . . . . . . . . . 129 A6231 . . . . . . . . . . . . . . . . . . . . . 135 A6234 . . . . . . . . . . . . . . . . . 131, 136 A6235 . . . . . . . . . . . . . . . . . 131, 136 A6236 . . . . . . . . . . . . . . . . . . . . . 136 A6237 . . . . . . . . . . . . . . . . . . . . . 132 A6238 . . . . . . . . . . . . . . . . . . . . . 132 A6248 . . . . . . . . . . . . . . . . . . . . . 135 A6250 . . . . . . . . . . . . . . . . . . 70, 138 A6260 . . . . . . . . . . . . . . . . . . . . . 137 A6266 . . . . . . . . . . . . . . . . . . . . . 135 A9270 . . . . . . . . . . . . . . . 69, 96, 138 A9900 . . . . . . . . . . . . . . . . . . . . . 115 A9999 . . . . . . . . . . . . . . . . . 115, 116 B9998 . . . . . . . . . . . . . . . . . . . . . 116 Hollister Incorporated 167 Hollister and logo, Hollister, ActiFlo, Adapt, Advance Plus, AF300, Anchor Fast, Apogee, Apogee Plus, CenterPointLock, ComfortWear, Extended Wear, Everyday, Flextend, FlexWear, FormaFlex, HolliHesive, InstaFlo, InView, Karaya 5, Lock ’n Roll, m9, New Image, Pouchkins, Premier, Premium, QuietWear, and SoftFlex are trademarks of Hollister Incorporated. C3Life, Secure Start, and “Hollister Ostomy. Details Matter.” are service marks of Hollister Incorporated. Hollisterwoundcare and wave logo are trademarks of Hollister Incorporated. Restore, Hydro-Shield and graphic, Restore DUO, Restore TRIO, TRIACT, TRIACT ADVANCED and graphic are trademarks of Hollister Wound Care LLC. ConnectEd is a service mark of Hollister Wound Care LLC. Hydrofera Blue is a trademark of Hydrofera, LLC. Shadow Buddies is a trademark of Shadow Buddies. Teflon is a trademark of E.I. du Pont de Nemours and Company. Coloplast and SenSura are trademarks of Coloplast A/S. ConvaTec and SUR-FIT Natura are trademarks of ConvaTec, LLC. Zassi is a trademark of Zassi Medical Evolutions, Inc. © 2012 Hollister Incorporated. Printed in USA. Hollister Consumer Programs For consumer and healthcare professional product questions and sampling needs: 1.888.740.8999 For dealers, distributors, institutions, and pharmacy questions or orders: 1.800.323.4060 fax 1.847.680.1017 For helping new patients adjust to life with an ostomy or bladder management: Secure Start Services 1.888.808.7456 For additional information on Hollister Wound Care: www.hollisterwoundcare.com For helping patients and families dealing with Epidermolysis Bullosa (EB) contact our EB Resources Hotline: 1.888.EB AID4U (1.888.322.4348) Hollister Incorporated 2000 Hollister Drive Libertyville, Illinois 60048 USA www.hollister.com © 2012 Hollister Incorporated. Printed in USA. 921867-112
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