PouchesA4416Closed Ostomy Pouch with Filter
A one-piece closed ostomy pouch with the skin barrier attached and a built-in filter that lets gas escape while helping control odor. Used once, then replaced.
What to expect
- The filter lets gas out quietly and helps cut down on odor and ballooning.
- All-in-one design goes on as a single piece — you remove and replace it when it fills.
- We help match the barrier opening to your stoma and review a comfortable change routine.
For providers (HCPCS A4416)
- HCPCS A4416: ostomy pouch, closed, with barrier attached, with filter (1 piece), each.
- Furnished on a standard written order (SWO); confirm one-piece closed configuration and barrier sizing.
- Single-use item resupplied by quantity; use is documented and eligibility verified before each shipment or claim.
- Coverage varies by payer — DWO and supporting documentation required.



