Coloplast Ostomy Product Guide
**Please note that this online catalog contains information from the 2015 Coloplast Ostomy Catalog. As such, its information may be out of date. This information is manually updated by us; we will be updating its information once we’re able to do so.**
The unofficial list of Coloplast Ostomy supplies, along with features, codes, and size options. Some products are linked to our sponsor Nextra Health for pricing.
SenSura One-Piece Pouches
All SenSura Barriers provide double-layer security & latex free to minimize skin problems and enhance comfort.
 CO1552x Box of 20
- Sensura NON-CONVEX Drainable
- Standard Wear, EasiClose WIDE Outlet
- Filter and Soft Cloth Backing
- (15821 has no filter)
- Transparent
- 11 1/2″ / 630 mL Capacity
- HCPCS: A4424
Code |
Cut |
Size |
15521 |
Cut-to-fit |
3/8″-3″ (10-75mm) |
15522 |
Pre-Cut |
1″ (25mm) |
15523 |
Pre-Cut |
1 1/4″ (30mm) |
15524 |
Pre-Cut |
1 3/8″ (35mm) |
15821 |
Cut-to-Fit |
3/8″-3″ (10-75mm) |
|
 CO1553x Box of 10
- Sensura NON-CONVEX Drainable
- Standard Wear, EasiClose WIDE Outlet
- Filter and 2-Sided Cloth Panel
- Opaque
- 11 1/2″ / 630 mL Capacity
- HCPCS: A4424
Code |
Cut |
Size |
15531 |
Cut-to-fit |
3/8″-3″ (10-75mm) |
15532 |
Pre-Cut |
1″ (25mm) |
15533 |
Pre-Cut |
1 1/4″ (30mm) |
15534 |
Pre-Cut |
1 3/8″ (35mm) |
|
 CO15981 Box of 10
- Sensura Xpro NON-CONVEX Drainable
- Extended Wear, EasiClose WIDE Outlet
- Filter and Soft Cloth Backing
- Transparent
- 11 1/2″ / 630 mL Capacity
- HCPCS: A4424
Code |
Cut |
Size |
15981 |
Cut-to-fit |
3/8″-3″ (10-75mm) |
|
 CO1548x Box of 30
- Sensura NON-CONVEX Closed
- Standard Wear
- Filter and 2-Sided Cloth Panel
- Opaque
- 8″ / 550 mL Capacity
- HCPCS: A4416
Code |
Cut |
Size |
15480 |
Cut-to-fit |
3/8″-3″ (10-75mm) |
15484 |
Pre-Cut |
1″ (25mm) |
|
 CO156xx-1 Box of 10
- Sensura Convex-Light Drainable
- Standard Wear, EasiClose WIDE Outlet
- Filter and Soft Cloth Backing
- Transparent
- 11 1/2″ / 630 mL Capacity
- HCPCS: A4389
Code |
Cut |
Size |
15606 |
Cut-to-fit |
5/8″-1 3/4″ (15-43mm) |
15623 |
Pre-Cut |
1″ (25mm) |
15624 |
Pre-Cut |
1 1/8″ (28mm) |
|
 CO156xx-2 Box of 10
- Sensura Convex-Light Drainable
- Standard Wear, EasiClose WIDE Outlet
- Filter and Soft Cloth Backing
- Transparent
- 11 1/2″ / 630 mL Capacity
- HCPCS: A4389
Code |
Cut |
Size |
15608 |
Cut-to-fit |
5/8″-1 3/4″ (15-43mm) |
15633 |
Pre-Cut |
1″ (25mm) |
15634 |
Pre-Cut |
1 1/8″ (28mm) |
|
 CO156xx-3 Box of 10
- Sensura Xpro Convex-Light Drainable
- Extended Wear, EasiClose WIDE Outlet
- Filter and Soft Cloth Backing
- Transparent
- 11 1/2″ / 630 mL Capacity
- HCPCS: A4424
Code |
Cut |
Size |
15696 |
Cut-to-fit |
3/4″-1 1/4″ (15-33mm) |
15695 |
Cut-to-fit |
3/4″ – 1 3/4″ (15-43mm) |
|
 CO11008 Box of 5
Kit Includes:
- 1 SenSura 1-Piece Non-Convex – #15521
- Transparent Pouch w/ Filter
- 1 – Instructions
- 1 – Stoma Measuring Guide
- HCPCS: A4424
Code |
Cut |
Size |
11008 |
Cut-to-fit |
3/8″-3″ (10-75mm) |
|
SenSura Two-Piece Barriers (Mechanical)
 CO100xx-1 Box of 5
- Sensura Click Non-Convex
- Standard Wear w/ Belt Tabs
- Cut-to-Fit
- HCPCS: A4414
Code |
Color |
Size |
10011 |
 |
3/8″-1 1/2″ (10-35mm) |
10021 |
 |
3/8″-1 3/4″ (10-45mm) |
10031 |
 |
3/8″-2 1/4″ (10-55mm) |
|
 CO100xx-2 Box of 5
- Sensura Click Non-Convex
- Standard Wear w/ Belt Tabs
- Pre-Cut
- HCPCS: A4414
Code |
Color |
Size |
10012 |
 |
3/4″ (20mm) |
10013 |
 |
1″ (25mm) |
10022 |
 |
1 1/8″ (28mm) |
10023 |
 |
1 3/8″ (35mm) |
10024 |
 |
1 5/8″ (40mm) |
|
 CO100xx-3 Box of 5
- Sensura Click Xpro Non-Convex
- Extended Wear w/ Belt Tabs
- Cut-to-Fit
- HCPCS: A4409
Code |
Color |
Size |
10015 |
 |
3/8″-1 1/2″ (10-35mm) |
10025 |
 |
3/8″-1 3/4″ (10-45mm) |
10035 |
 |
3/8″-2 1/4″ (10-55mm) |
10045 |
 |
3/8″-2 3/4″ (10-55mm) |
|
 CO100xx-4 Box of 5
- Sensura Click Xpro Non-Convex
- Extended Wear w/ Belt Tabs
- Pre-Cut
- HCPCS: A4409
Code |
Color |
Size |
10016 |
 |
3/4″ (20mm) |
10017 |
 |
1″ (25mm) |
10026 |
 |
1 1/8″ (28mm) |
10027 |
 |
1 3/8″ (35mm) |
10036 |
 |
1 5/8″ (40mm) |
|
 CO110xx-1 Box of 5
- Sensura Click Convex Light
- Standard Wear w/ Belt Tabs
- Cut-to-Fit
- HCPCS: A4373
Code |
Color |
Size |
11011 |
 |
5/8″-7/8″ (15-22mm) |
11021 |
 |
5/8″-1 1/4″ (15-33mm) |
11031 |
 |
5/8″-1 3/4″ (15-43mm) |
|
 CO110xx-2 Box of 5
- Sensura Click Convex Light
- Standard Wear w/ Belt Tabs
- Pre-Cut
- HCPCS: A4373
Code |
Color |
Size |
11012 |
 |
7/8″ (22mm) |
11022 |
 |
1″ (25mm) |
11023 |
 |
1 1/8″ (28mm) |
11024 |
 |
1 1/4″ (31mm) |
11025 |
 |
1 3/8″ (35mm) |
|
 CO110xx-3 Box of 5
- Sensura Click Xpro Convex Light
- Extended Wear w/ Belt Tabs
- Cut-to-Fit
- HCPCS: A4407
Code |
Color |
Size |
11015 |
 |
3/4″-7/8″ (15-22mm) |
11025 |
 |
3/4″-1 1/4″ (15-33mm) |
11035 |
 |
3/4″-1 3/4″ (15-43mm) |
11045 |
 |
3/4″-2″ (15-53mm) |
|
 CO110xx-4 Box of 5
- Sensura Click Xpro Convex Light
- Extended Wear w/ Belt Tabs
- Pre-Cut
- HCPCS: A4407
Code |
Color |
Size |
11016 |
 |
7/8″ (21mm) |
11026 |
 |
1″ (25mm) |
11027 |
 |
1 1/8″ (28mm) |
11028 |
 |
1 1/4″ (31mm) |
11036 |
 |
1 3/8″ (35mm) |
|
SenSura Adhesive Barriers
 CO101xx-1 Box of 10
- Sensura Flex Non-Convex
- Standard Wear
- Cut-to-Fit
- 10108 (5/Box)
- HCPCS: A4414, A4415 (10103,10108)
Code |
Color |
Size |
10101 |
 |
3/8″-1 1/4″ (10-33mm) |
10102 |
 |
3/8″-1 7/8″ (10-48mm) |
10103 |
 |
3/8″-2 3/4″ (10-70mm) |
10108 |
 |
3/8″-3 1/2″ (10-90mm) |
|
CO101xx-2 Box of 10
- Sensura Flex Xpro Non-Convex
- Standard Wear
- Cut-to-fit
- HCPCS: A4409, A4410 (10106)
Code |
Color |
Size |
10104 |
 |
3/8″-1 1/2″ (10-33mm) |
10105 |
 |
3/8″-1 3/4″ (10-48mm) |
10106 |
 |
3/8″-2 3/4″ (10-70mm) |
|
CO113xx-1 Box of 10
- Sensura Flex Convex Light
- Standard Wear w/ Belt Tabs
- Cut-to-Fit
- HCPCS: A4373
Code |
Color |
Size |
11301 |
 |
5/8″-7/8″ (15-22mm) |
11302 |
 |
5/8″-1 1/4″ (15-33mm) |
11303 |
 |
5/8″-1 3/4″ (15-43mm) |
11307 |
 |
5/8″-2 1/4″ (15-55mm) |
|
CO113xx-2 Box of 10
- Sensura Flex Convex Light
- Standard Wear w/ Belt Tabs
- Pre-Cut
- HCPCS: A4373
Code |
Color |
Size |
11312 |
 |
7/8″ (22mm) |
11313 |
 |
1″ (25mm) |
11314 |
 |
1 1/8″ (28mm) |
11315 |
 |
1 1/4″ (31mm) |
|
CO113xx-3 Box of 5
- Sensura Flex Xpro Convex Light
- Extended Wear w/ Belt Tabs
- Cut-to-Fit
- HCPCS: A4373
Code |
Color |
Size |
11304 |
 |
3/4″-7/8″ (15-22mm) |
11305 |
 |
3/4″-1 1/4″ (15-33mm) |
11306 |
 |
3/4″-1 3/4″ (15-43mm) |
11308 |
 |
3/4″-2″ (15-53mm) |
|
|
SenSura Two-Piece Mechanical Coupling Pouches
 CO111xx-1 Box of 20
- Sensura Click Drainable
- Easiclose WIDE Outlet
- Transparent
- Filter and Soft Cloth Back
- 11197 (10 Units)
- 11 1/2″ (29cm) / 655 mL
- HCPCS: A4427
Code |
Color |
11194 |
 |
11195 |
 |
11196 |
 |
11197 |
 |
|
 CO111xx-2 Box of 20
- Sensura Click Drainable
- Easiclose WIDE Outlet
- Opaque
- Filter and 2-Sided Soft Cloth
- 11127 (10 Units)
- 11 1/2″ (29cm) / 655 mL
- HCPCS: A4427
Code |
Color |
11124 |
 |
11125 |
 |
11126 |
 |
11127 |
 |
|
 CO111xx-3 Box of 20
- Sensura Click Drainable
- Easiclose WIDE Outlet
- Transparent
- Soft Cloth Back
- 11187 (10 Units)
- 11 1/2″ (29cm) / 655 mL
- HCPCS: A5063
Code |
Color |
11185 |
 |
11186 |
 |
11187 |
 |
|
 CO111xx-4 Box of 20
- Sensura Click Drainable
- Easiclose WIDE Outlet
- Opaque
- 2-Sided Soft Cloth
- 11 1/2″ (29cm) / 655 mL
- HCPCS: A5063
Code |
Color |
11135 |
 |
11136 |
 |
|
CO111xx-5 Box of 20
- Sensura Click Drainable
- Easiclose WIDE Outlet
- Opaque
- Filter and 2-Sided Soft Cloth
- 10 1/2″ (26.5cm) / 485 mL
- HCPCS: A4427
Code |
Color |
11114 |
 |
11115 |
 |
11116 |
 |
|
 CO101xx-3 Box of 30
- Sensura Click Closed
- Easiclose WIDE Outlet
- Opaque
- 1-Sided Soft Cloth
- 8 1/2″ (21cm) / 450 mL
- HCPCS: A4423
Code |
Color |
10164 |
 |
10165 |
 |
10166 |
 |
10167 |
 |
|
 CO101xx-4 Box of 30
- Sensura Click Closed
- Opaque
- Filter and Soft Cloth Back
- 7″ (18cm) / 170 mL
- HCPCS: A4423
Code |
Color |
10154 |
 |
10155 |
 |
10156 |
 |
|
|
SenSura Two-Piece Adhesive Coupling Pouches
 CO115xx-1 Box of 20
- Sensura Flex Drainable
- Easiclose WIDE Outlet
- Transparent
- Filter and Soft Cloth Back
- 11 1/2″ (29cm) / 410 mL
- HCPCS: A4425
Code |
Color |
11511 |
 |
11512 |
 |
11517 |
 |
11590 |
 |
|
 CO101xx-3 Box of 20
- Sensura Click Closed
- Easiclose WIDE Outlet
- Opaque
- Filter and 2-Sided Soft Cloth
- 11 1/2″ (29cm) / 410 mL
- HCPCS: A4425
Code |
Color |
11514 |
 |
11515 |
 |
11518 |
 |
11591 |
 |
|
 CO116xx-1 Box of 20
- Sensura Flex Drainable
- Easiclose WIDE Outlet
- Transparent
- Soft Cloth Back
- 11 1/2″ (29cm) / 410 mL
- HCPCS: A4425
Code |
Color |
11612 |
 |
11617 |
 |
11690 |
 |
|
|
 CO109xx-1 Box of 30
- Sensura Flex Closed
- Transparent
- Filter and absorbent backing
- 8 1/2″ (21cm) / 450 mL
- HCPCS: A4419
Code |
Color |
10911 |
 |
10912 |
 |
10917 |
 |
|
 CO109xx-2 Box of 30
- Sensura Flex Closed
- Opaque
- Filter and absorbent backing
- 8 1/2″ (21cm) / 450 mL
- HCPCS: A4419
Code |
Color |
10914 |
 |
10915 |
 |
10918 |
 |
|
SenSura Single-Use Kits
 CO11009 Box of 5
Kit Includes:
- Sensura 2-Piece Pouch (#11196)
- Transparent
- Standard Wear Non-Convex Barrier (#10031)
- Instructions
- Stoma Measuring Guide
- HCPCS: A4414, 4427
Code |
Color |
Size |
11009 |
 |
3/8″-2 1/4″ (10-55mm) |
|
 CO11010 Box of 5
Kit Includes:
- Sensura 2-Piece Pouch (#11196)
- Transparent
- Standard Wear Convex Light Barrier (#11031)
- Instructions
- Stoma Measuring Guide
- HCPCS: A4414, 4427
Code |
Color |
Size |
11010 |
 |
3/4″-1 3/4″ (10-43mm) |
|
CO21001 Box of 5
Kit Includes:
- Sensura 2-Piece Drainable (#11517)
- EasiClose WIDE Outlet
- Transparent
- Standard Wear Non-Convex Barrier (#10103)
- Instructions
- Stoma Measuring Guide
- HCPCS: A4415, 4425
Code |
Color |
Size |
21001 |
 |
3/8″-2 3/4″ (10-70mm) |
|
CO11011K Box of 5
Kit Includes:
- Sensura 2-Piece Pouch (#11512)
- Transparent
- Standard Wear Non-Convex Barrier (#10102)
- Instructions
- Stoma Measuring Guide
- HCPCS: A4414, 4425
Code |
Color |
Size |
11011K |
 |
3/8″-1 7/8″ (10-48mm) |
|
Assura One-Piece Pouches
 CO15860 (Cut-to-Fit) Box of 10
- Assura Non-Convex Drainable
- Transparent
- Filter and Soft Cloth Back
- 11 1/2″ (29cm) / 530 mL
- HCPCS: 4424
Code |
Cut |
Size |
15860 |
Cut-to-fit |
3/8″-2 3/4″ (10-70mm) |
|
 CO158xx-1 (Cut-to-Fit) Box of 10
- Assura Non-Convex Drainable
- Opaque
- Filter and 2-Sided Soft Cloth
- 11 1/2″ (29cm) / 530 mL
- HCPCS: 4424
Code |
Cut |
Size |
15870 |
Cut-to-fit |
3/8″-2 3/4″ (10-70mm) |
15874 |
Pre-Cut |
1″ (25mm) |
15875 |
Pre-Cut |
1 3/16″ (30mm) |
15876 |
Pre-Cut |
1 3/8″ (35mm) |
|
 CO15861 (Cut-to-Fit) Box of 10
- Assura Non-Convex Drainable
- Transparent
- Soft Cloth Back
- 11 1/2″ (29cm) / 530 mL
- HCPCS: 5061
Code |
Cut |
Size |
15861 |
Cut-to-fit |
3/8″-2 3/4″ (10-70mm) |
|
 CO15871 (Cut-to-Fit) Box of 10
- Assura Non-Convex Drainable
- Opaque
- 2-Sided Soft Cloth
- 11 1/2″ (29cm) / 530 mL
- HCPCS: 5061
Code |
Cut |
Size |
15871 |
Cut-to-fit |
3/8″-2 3/4″ (10-70mm) |
|
 CO15869 Box of 10
- Assura Non-Convex Drainable
- Extra-Extended Wear
- EasiClose WIDE Outlet
- Transparent
- Soft Cloth Back
- 11 1/2″ (29cm) / 530 mL
- HCPCS: 4388
Code |
Cut |
Size |
15869 |
Cut-to-fit |
3/8″-2 3/4″ (10-70mm) |
|
 CO15879 Box of 10
- Assura Non-Convex Drainable
- Extra-Extended Wear
- EasiClose WIDE Outlet
- Opaque
- 2-Sided Soft Cloth Back
- 11 1/2″ (29cm) / 530 mL
- HCPCS: 4388
Code |
Cut |
Size |
15879 |
Cut-to-fit |
3/8″-2 3/4″ (10-70mm) |
|
 CO145xx-1 Box of 10
- Assura Convex Light Drainable
- Standard Wear
- EasiClose WIDE Outlet
- Belt Tabs
- Transparent
- Filter and Soft Cloth Back
- 11 1/2″ (29cm) / 530 mL
- HCPCS: 4388
Code |
Cut |
Size |
14511 |
Cut-to-fit |
3/4-1 1/4″ (15-33mm) |
14512 |
Cut-to-fit |
3/4″-1 3/4″ (15-43mm) |
|
 CO145xx-2 Box of 10
- Assura Convex Light Drainable
- Standard Wear
- EasiClose WIDE Outlet
- Belt Tabs
- Opaque
- Filter and 2-Sided Soft Cloth
- 11 1/2″ (29cm) / 530 mL
- HCPCS: 4388
Code |
Cut |
Size |
14513 |
Cut-to-fit |
3/4-1 1/4″ (15-33mm) |
14514 |
Cut-to-fit |
3/4″-1 3/4″ (15-43mm) |
|
 CO144xx-1 Box of 10
- Assura Convex Light Drainable
- Extra-Extended Wear
- EasiClose WIDE Outlet
- Belt Tabs
- Transparent
- Soft Cloth Back
- 11 1/2″ (29cm) / 530 mL
- HCPCS: 4390
Code |
Cut |
Size |
14413 |
Cut-to-fit |
3/4-1 1/4″ (15-33mm) |
14416 |
Cut-to-fit |
3/4″-1 3/4″ (15-43mm) |
|
 CO144xx-2 Box of 10
- Assura Convex Light Drainable
- Extra-Extended Wear
- EasiClose WIDE Outlet
- Belt Tabs
- Opaque
- 2-Sided Soft Cloth
- 11 1/2″ (29cm) / 530 mL
- HCPCS: 4390
Code |
Cut |
Size |
14419 |
Cut-to-fit |
3/4-1 1/4″ (15-43mm) |
|
 CO138xx-1 Box of 10
- Assura Non-Convex Drainable
- Standard Wear
- EasiClose Outlet
- Opaque
- Filter and 2-Sided Soft Cloth
- 10 1/4″ (26cm) / 390 mL
- HCPCS: 4424
Code |
Cut |
Size |
13840 |
Cut-to-fit |
3/8-2 1/4″ (10-55mm) |
13844 |
Pre-Cut |
1″ (25mm) |
13845 |
Pre-Cut |
1 3/16″ (30mm) |
13846 |
Pre-Cut |
1 3/8″ (35mm) |
|
|
 CO144xx-3 Box of 10
- Assura Convex Light Drainable
- Standard Wear
- EasiClose Outlet
- Transparent
- Belt Tabs
- Filter and Soft Cloth Back
- 11 1/4″ (28.5cm) / 530 mL
- HCPCS: 4389
Code |
Cut |
Size |
14411 |
Cut-to-fit |
3/4-1 1/4″ (15-33mm) |
14412 |
Cut-to-fit |
3/4-1 3/4″ (15-43mm) |
|
 CO144xx-4 Box of 10
- Assura Convex Light Drainable
- Standard Wear
- EasiClose Outlet
- Transparent
- Belt Tabs
- Filter and Soft Cloth Back
- 11 1/4″ (28.5cm) / 530 mL
- HCPCS: 4389
Code |
Cut |
Size |
14414 |
Cut-to-fit |
3/4-1 1/4″ (15-33mm) |
14415 |
Cut-to-fit |
3/4-1 3/4″ (15-43mm) |
14421 |
Pre-Cut |
7/8″ (22mm) |
14422 |
Pre-Cut |
1″ (25mm) |
14423 |
Pre-Cut |
1 1/8″ (28mm) |
14424 |
Pre-Cut |
1 1/4″ (31mm) |
|
 CO144xx-5 Box of 10
- Assura Convex Light Drainable
- Standard Wear
- EasiClose Outlet
- Opaque
- Belt Tabs
- Filter and 2-Sided Soft Cloth
- 10 1/4″ (26cm) / 390 mL
- HCPCS: 4389
Code |
Cut |
Size |
14404 |
Cut-to-fit |
3/4-1 1/4″ (15-33mm) |
14405 |
Cut-to-fit |
3/4-1 3/4″ (15-43mm) |
|
|
 CO141xx-1 Box of 10
- Assura Convex Drainable
- Standard Wear
- EasiClose Outlet
- Transparent
- Belt Tabs
- Filter
- 11 1/4″ (28.5cm) / 530 mL
- HCPCS: 4389
Code |
Cut |
Size |
14103 |
Cut-to-fit |
3/4-1 3/4″ (15-43mm) |
14163 |
Pre-Cut |
7/8″ (22mm) |
14164 |
Pre-Cut |
1″ (25mm) |
14165 |
Pre-Cut |
1 1/8″ (28mm) |
14166 |
Pre-Cut |
1 1/4″ (31mm) |
|
 CO141xx-2 Box of 10
- Assura Convex Drainable
- Standard Wear
- EasiClose Outlet
- Transparent
- Belt Tabs
- Filter
- 11 1/4″ (28.5cm) / 530 mL
- HCPCS: 4389
Code |
Cut |
Size |
14106 |
Cut-to-fit |
3/4-1 3/4″ (15-33mm) |
14173 |
Pre-Cut |
7/8″ (22mm) |
14174 |
Pre-Cut |
1″ (25mm) |
14175 |
Pre-Cut |
1 1/8″ (28mm) |
14176 |
Pre-Cut |
1 1/4″ (31mm) |
|
 CO14196 Box of 10
- Assura Convex Drainable
- Standard Wear
- EasiClose Outlet
- Transparent
- Belt Tabs
- Filter w/ 2-Sided Cloth
- 10 1/4″ (26cm) / 390 mL
- HCPCS: 4389
Code |
Cut |
Size |
14196 |
Cut-to-fit |
3/4-1 3/4″ (15-43mm) |
|
|
 CO126xx-1 Box of 10
- Assura Non-Convex Drainable
- Standard Wear
- Transparent
- Soft Cloth Back
- 11 1/4″ (28.5cm) / 530 mL
- HCPCS: 4389
Code |
Cut |
Size |
12660 |
Cut-to-fit |
3/4-2 3/4″ (10-70mm) |
12664 |
Pre-Cut |
1″ (25mm) |
12665 |
Pre-Cut |
1 3/16″ (30mm) |
12666 |
Pre-Cut |
1 3/8″ (35mm) |
12667 |
Pre-Cut |
1 9/16″ (40mm) |
|
 CO126xx-2 Box of 10
- Assura Non-Convex Drainable
- Standard Wear
- Opaque
- Soft Cloth Back
- 11 1/4″ (28.5cm) / 530 mL
- HCPCS: 4389
Code |
Cut |
Size |
12670 |
Cut-to-fit |
3/4-2 3/4″ (10-70mm) |
12674 |
Pre-Cut |
1″ (25mm) |
12675 |
Pre-Cut |
1 3/16″ (30mm) |
12676 |
Pre-Cut |
1 3/8″ (35mm) |
12677 |
Pre-Cut |
1 9/16″ (40mm) |
|
 CO137xx-1 Box of 10
- Assura Convex Drainable
- Standard Wear
- Transparent
- Belt Tabs
- Soft Cloth Back
- 11 1/4″ (28.5cm) / 530 mL
- HCPCS: 4389
Code |
Cut |
Size |
13705 |
Cut-to-fit |
3/4-1 1/4″ (15-33mm) |
13706 |
Cut-to-fit |
3/4-1 3/4″ (15-43mm) |
13721 |
Pre-Cut |
5/8″ (15mm) |
13722 |
Pre-Cut |
3/4″ (18mm) |
13723 |
Pre-Cut |
7/8″ (22mm) |
17324 |
Pre-Cut |
1″ (25mm) |
13725 |
Pre-Cut |
1 1/8″ (28mm) |
13726 |
Pre-Cut |
1 1/4″ (31mm) |
13727 |
Pre-Cut |
1 3/8″ (35mm) |
13728 |
Pre-Cut |
1 1/2″ (38mm) |
13729 |
Pre-Cut |
1 5/8″ (41mm) |
|
 CO125xx-1 Box of 10
- Assura Convex Drainable
- Standard Wear
- Opaque
- Belt Tabs
- 2-sided Soft Cloth
- 11 1/4″ (28.5cm) / 530 mL
- HCPCS: 4389
Code |
Cut |
Size |
12532 |
Cut-to-fit |
3/4-1 1/4″ (15-33mm) |
12533 |
Cut-to-fit |
3/4-1 3/4″ (15-43mm) |
12851 |
Pre-Cut |
5/8″ (15mm) |
12852 |
Pre-Cut |
3/4″ (18mm) |
12853 |
Pre-Cut |
7/8″ (22mm) |
12854 |
Pre-Cut |
1″ (25mm) |
12855 |
Pre-Cut |
1 1/8″ (28mm) |
12856 |
Pre-Cut |
1 1/4″ (31mm) |
12857 |
Pre-Cut |
1 3/8″ (35mm) |
12858 |
Pre-Cut |
1 1/2″ (38mm) |
12859 |
Pre-Cut |
1 5/8″ (41mm) |
|
 CO137xx-2 Box of 10
- Assura Convex Drainable
- Standard Wear
- Transparent
- Belt Tabs
- Soft Cloth Back
- 9 3/4″ (24.5cm) / 230 mL
- HCPCS: 4389
Code |
Cut |
Size |
13702 |
Cut-to-fit |
3/4-1 1/4″ (15-33mm) |
13703 |
Cut-to-fit |
3/4-1 3/4″ (15-43mm) |
13712 |
Pre-Cut |
3/4″ (18mm) |
13713 |
Pre-Cut |
7/8″ (22mm) |
13714 |
Pre-Cut |
1″ (25mm) |
17315 |
Pre-Cut |
1 1/8″ (28mm) |
13716 |
Pre-Cut |
1 1/4″ (31mm) |
13717 |
Pre-Cut |
1 3/8″ (35mm) |
13719 |
Pre-Cut |
1 5/8″ (41mm) |
|
 CO121xx-2 Box of 30
- Assura Non-Convex Closed
- Spiral Standard Wear Adhesive
- Opaque
- Charcoal filter
- 2-sided Soft Cloth
- 8 1/2″ (22cm) / 560 mL
- HCPCS: 4416
Code |
Cut |
Size |
12170 |
Cut-to-fit |
7/8-2 3/4″ (22-70mm) |
12174 |
Pre-Cut |
1″ (25mm) |
12175 |
Pre-Cut |
1 3/16″ (30mm) |
12176 |
Pre-Cut |
1 3/8″ (35mm) |
12177 |
Pre-Cut |
1 9/16″ (40mm) |
|
 CO124xx-1 Box of 30
- Assura Convex Drainable
- Extra-Extended Wear
- Transparent – 12456
- Opaque – 12455
- 5 Pouch Clamps and 10 Twist-Ties
- 11 1/4″ (28.5cm) / 530 mL
- HCPCS: 4388
Code |
Cut |
Size |
12456 |
Cut-to-fit |
3/8-2 3/4″ (10-70mm) |
12455 |
Cut-to-fit |
3/4-1 3/4″ (15-43mm) |
|
 CO121xx-3 Box of 30
- Assura Non-Convex Drainable
- Spiral Standard Wear Adhesive
- Transparent – 12100
- Opaque – 12110
- Charcoal filter
- 2-sided Soft Cloth
- 5″ (12cm) / 170 mL
- HCPCS: 4416
Code |
Cut |
Size |
12100 |
Cut-to-fit |
7/8-2 1/8″ (22-55mm) |
12110 |
Cut-to-fit |
7/8-2 1/8″ (22-55mm) |
|
 CO124xx-2 Box of 10
- Assura Convex Drainable
- Extra-Extended Wear
- Transparent
- 5 Pouch Clamps and 10 Twist-Ties
- 11″ (28.5cm) / 530 mL
- HCPCS: 4390
Code |
Cut |
Size |
12415 |
Cut-to-fit |
3/4-1 1/4″ (15-33mm) |
12416 |
Cut-to-fit |
3/4-1 3/4″ (15-43mm) |
|
 CO124xx-3 Box of 10
- Assura Convex Drainable
- Extra-Extended Wear
- Opaque
- 5 Pouch Clamps and 10 Twist-Ties
- 11″ (28.5cm) / 530 mL
- HCPCS: 4390
Code |
Cut |
Size |
12418 |
Cut-to-fit |
3/4-1 1/4″ (15-33mm) |
12419 |
Cut-to-fit |
3/4-1 3/4″ (15-43mm) |
|
 CO144xx-6 Box of 10
- Assura Convex Light Closed
- Spiral Adhesive Standard Wear
- Transparent
- Charcoal Filter
- 2-Sided Cloth Backing
- 8 1/2″ (22cm) / 560 mL
- HCPCS: 4417
Code |
Cut |
Size |
14441 |
Cut-to-fit |
3/4-1 1/4″ (15-33mm) |
14442 |
Cut-to-fit |
3/4-1 3/4″ (15-43mm) |
|
 CO144xx-7 Box of 10
- Assura Convex Light Closed
- Spiral Adhesive Standard Wear
- Opaque
- Charcoal Filter
- 2-Sided Cloth Backing
- 8 1/2″ (22cm) / 560 mL
- HCPCS: 4417
Code |
Cut |
Size |
14444 |
Cut-to-fit |
3/4-1 1/4″ (15-33mm) |
14445 |
Cut-to-fit |
3/4-1 3/4″ (15-43mm) |
|
 CO121xx-4 Box of 30
- Assura Non-Convex Closed
- Spiral Standard Wear Adhesive
- Transparent
- Charcoal Filter
- 2-Sided Cloth Backing
- 7″ (18cm) / 350 mL
- HCPCS: 4416
Code |
Cut |
Size |
12130 |
Cut-to-fit |
7/8-2 1/8″ (22-55mm) |
12134 |
Pre-Cut |
1″ (25mm) |
12135 |
Pre-Cut |
1 3/16″ (30mm) |
12136 |
Pre-Cut |
1 3/8″ (35mm) |
12137 |
Pre-Cut |
1 9/16″ (40mm) |
|
 CO144xx-8 Box of 30
- Assura Non-Convex Closed
- Spiral Standard Wear Adhesive
- Opaque
- Charcoal Filter
- 2-Sided Cloth Backing
- 7″ (18cm) / 350 mL
- HCPCS: 4416
Code |
Cut |
Size |
12140 |
Cut-to-fit |
7/8-2 3/4″ (22-55mm) |
12144 |
Pre-Cut |
1″ (25mm) |
12145 |
Pre-Cut |
1 3/16″ (30mm) |
12146 |
Pre-Cut |
1 3/8″ (35mm) |
12147 |
Pre-Cut |
1 9/16″ (40mm) |
12149 |
Pre-Cut |
2″ (50mm) |
|
 CO144xx-9 Box of 10
- Assura Convex Light Closed
- Spiral Standard Wear Adhesive
- Transparent
- Charcoal Filter
- 2-Sided Cloth Backing
- 7″ (18cm) / 350 mL
- HCPCS: 4417
Code |
Cut |
Size |
14431 |
Cut-to-fit |
3/4-1 1/4″ (15-33mm) |
14432 |
Cut-to-fit |
3/4-1 3/4″ (15-43mm) |
|
 CO144xx-10 Box of 10
- Assura Convex Light Closed
- Spiral Standard Wear Adhesive
- Opaque
- Charcoal Filter
- 2-Sided Cloth Backing
- 7″ (18cm) / 350 mL
- HCPCS: 4417
Code |
Cut |
Size |
14434 |
Cut-to-fit |
3/4-1 1/4″ (15-33mm) |
14435 |
Cut-to-fit |
3/4-1 3/4″ (15-43mm) |
14451 |
Pre-Cut |
7/8″ (22mm) |
14452 |
Pre-Cut |
1″ (25mm) |
14453 |
Pre-Cut |
1 1/8″ (28mm) |
14454 |
Pre-Cut |
1 1/4″ (31mm) |
|
 CO11005 Box of 5
- Assura 1-Piece Kit
- 1- Assura Non-Convex Drainable
- Transparent (#15860)
- 1- Instructions
- 1- Stoma Measuring Guide
- HCPCS: 4424
Code |
Cut |
Size |
11005 |
Cut-to-fit |
3/8-2 3/4″ (10-70mm) |
|
|
Assura Two-Piece Barriers (Mechanical)
 CO288x-1 Box of 5
- Assura Non-Convex
- Standard Wear w/ Belt Tabs
- Cut-to-Fit
- HCPCS: A4414
Code |
Color |
Size |
2881 |
 |
3/8″-1 1/2″ (10-35mm) |
2882 |
 |
3/8″-1 3/4″ (10-45mm) |
2883 |
 |
3/8″-2 1/4″ (10-55mm) |
|
 CO110xx-1 Box of 5
- Assura Non-Convex
- Standard Wear w/ Belt Tabs
- Pre-Cut
- HCPCS: A4414
Code |
Color |
Size |
12840 |
 |
5/8″ (15mm) |
12841 |
 |
13/16″- (20mm) |
12842 |
 |
1″ (25mm) |
12844 |
 |
1 3/16″ (30mm) |
12845 |
 |
1 3/8″ (35mm) |
12847 |
 |
1 9/16″ (40mm) |
12848 |
 |
1 3/4″ (45mm) |
|
 CO283x-1 Box of 5
- Assura Non-Convex
- Extra Extended Wear
- Belt Tabs
- Cut-to-Fit
- HCPCS: A4409
Code |
Color |
Size |
2831 |
 |
3/8″-1 1/2″ (10-35mm) |
2832 |
 |
3/8″-1 3/4″ (10-45mm) |
2833 |
 |
3/8″-2 1/4″ (10-55mm) |
|
 CO142xx-1 Box of 5
- Assura Non-Convex
- Extra Extended Wear
- Belt Tabs
- Pre-Cut
- HCPCS: A4409
Code |
Color |
Size |
14250 |
 |
5/8″ (15mm) |
14251 |
 |
13/16″ (20mm) |
14252 |
 |
1″ (25mm) |
14254 |
 |
1 3/16″ (30mm) |
14255 |
 |
1 3/8″ (35mm) |
14257 |
 |
1 9/16″ (40mm) |
14258 |
 |
1 3/4″ (45mm) |
|
 CO142xx-2 Box of 5
- Assura Convex Light
- Standard Wear
- Belt Tabs
- Cut-to-Fit
- HCPCS: A4373
Code |
Color |
Size |
14261 |
 |
3/4″-7/8″ (15-22mm) |
14262 |
 |
3/4″-1 1/4″ (15-33mm) |
14263 |
 |
3/4″-1 3/4″ (15-43mm) |
|
 CO142xx-3 Box of 5
- Assura Convex Light
- Standard Wear
- Belt Tabs
- Pre-Cut
- HCPCS: A4373
Code |
Color |
Size |
14271 |
 |
3/4″ (18mm) |
14272 |
 |
7/8″ (22mm) |
14273 |
 |
1″ (25mm) |
14274 |
 |
1 1/8″ (28mm) |
14275 |
 |
1 1/4″ (31mm) |
14276 |
 |
1 3/8″ (35mm) |
14277 |
 |
1 1/2″ (38mm) |
14278 |
 |
1 5/8″ (41mm) |
|
 CO142xx-4 Box of 5
- Assura Convex Light
- Extra Extended Wear
- Belt Tabs
- Cut-to-Fit
- HCPCS: A4407
Code |
Color |
Size |
14281 |
 |
3/4″-7/8″ (15-22mm) |
14282 |
 |
3/4″-1 1/4″ (15-33mm) |
14283 |
 |
3/4″-1 3/4″ (15-43mm) |
|
 CO142xx-5 Box of 5
- Assura Convex Light
- Extra Extended Wear
- Belt Tabs
- Pre-Cut
- HCPCS: A4407
Code |
Color |
Size |
14291 |
 |
3/4″ (18mm) |
14292 |
 |
7/8″ (22mm) |
14293 |
 |
1″ (25mm) |
14294 |
 |
1 1/8″ (28mm) |
14295 |
 |
1 1/4″ (31mm) |
14296 |
 |
1 3/8″ (35mm) |
14297 |
 |
1 1/2″ (38mm) |
14298 |
 |
1 5/8″ (41mm) |
|
 CO127xx-1 Box of 5
- Assura Convex
- Standard Wear
- Belt Tabs
- Cut-to-Fit
- HCPCS: A4373
Code |
Color |
Size |
12716 |
 |
3/4″-1 1/4″ (15-33mm) |
12719 |
 |
3/4″-1 3/4″ (15-43mm) |
|
 CO127xx-2 Box of 5
- Assura Convex
- Standard Wear
- Belt Tabs
- Pre-Cut
- HCPCS: A4373
Code |
Color |
Size |
12701 |
 |
5/8″ (15mm) |
12702 |
 |
3/4″ (18mm) |
12703 |
 |
7/8″ (22mm) |
12704 |
 |
1″ (25mm) |
12705 |
 |
1 1/8″ (28mm) |
12706 |
 |
1 1/4″ (31mm) |
12707 |
 |
1 3/8″ (35mm) |
12708 |
 |
1 1/2″ (38mm) |
12709 |
 |
1 5/8″ (41mm) |
|
 CO142xx-6 Box of 5
- Assura Convex
- Standard Wear
- Belt Tabs
- Cut-to-Fit
- HCPCS: A4407
Code |
Color |
Size |
14243 |
 |
3/4″-7/8″ (15-22mm) |
14246 |
 |
3/4″-1 1/4″ (15-33mm) |
14249 |
 |
3/4″-1 3/4″ (15-43mm) |
|
 CO142xx-7 Box of 5
- Assura Convex
- Standard Wear
- Belt Tabs
- Pre-Cut
- HCPCS: A4407
Code |
Color |
Size |
14232 |
 |
3/4″ (18mm) |
14233 |
 |
7/8″ (22mm) |
14234 |
 |
1″ (25mm) |
14235 |
 |
1 1/8″ (28mm) |
14236 |
 |
1 1/4″ (31mm) |
14237 |
 |
1 3/8″ (35mm) |
14238 |
 |
1 1/2″ (38mm) |
14239 |
 |
1 5/8″ (41mm) |
|
Assura Two-Piece Barriers (Adhesive)
 CO143xx-1 Box of 10
- Assura AC Non-Convex
- Standard Wear
- Cut-to-Fit
- 14309 – 5/Box
- HCPCS: A4414, 4415 (03 & 09)
Code |
Color |
Size |
14301 |
 |
3/8″-1 1/4″ (10-33mm) |
14302 |
 |
3/8- 1 7/8″ (10-48mm) |
14303 |
 |
3/8″-2 3/4″ (10-70mm) |
14309 |
 |
3/8″-3 1/2″ (10-90mm) |
|
 CO143xx-2 Box of 5
- Assura Convex
- Extra Extended Wear
- Cut-to-fit
- HCPCS: A4409, 4410 (14306)
Code |
Color |
Size |
14304 |
 |
3/8-1 1/4″ (10-33mm) |
14305 |
 |
3/8-1 7/8″ (10-48mm) |
14306 |
 |
3/8-2 3/4″ (10-70mm) |
|
 CO144xx-1 Box of 5
- Assura AC Convex Light
- Standard Wear
- Belt Tabs
- Cut-to-Fit
- HCPCS: A4373
Code |
Color |
Size |
14401 |
 |
3/4″-7/8″ (10-22mm) |
14403 |
 |
3/4- 1 3/4″ (15-43mm) |
14406 |
 |
5/8″-2 3/4″ (15-70mm) |
|
 CO146xx-1 Box of 5
- Assura AC Convex Light
- Standard Wear
- Pre-Cut
- HCPCS: A4373
Code |
Color |
Size |
14641 |
 |
3/4″ (18mm) |
14642 |
 |
7/8″ (22mm) |
14643 |
 |
1″ (25mm) |
14644 |
 |
1 1/8″ (28mm) |
14645 |
 |
1 1/4″ (31mm) |
14646 |
 |
1 3/8″ (35mm) |
14647 |
 |
1 1/2″ (38mm) |
14648 |
 |
1 5/8″ (41mm) |
|
 CO146xx-1 Box of 5
- Assura AC Convex Light
- Extra Extended Wear
- Belt Tabs
- Cut-to-Fit
- HCPCS: A4407, 4408 (14408)
Code |
Color |
Size |
14601 |
 |
3/4″-7/8″ (15-22mm) |
14602 |
 |
3/4- 1 1/4″ (15-33mm) |
14603 |
 |
3/4- 1 3/4″ (15-43mm) |
14408 |
 |
5/8″-2 3/4″ (15-70mm) |
|
|
Assura Two-Piece Pouches (Mechanical)
 CO159xx-1 Box of 10
- Assura Drainable
- EasiClose WIDE Outlet
- Transparent
- Filter, 2-Sided Soft Cloth
- 11 1/2 (29cm) / 530 mL
- HCPCS: A4427
Code |
Color |
15974 |
 |
15975 |
 |
15976 |
 |
|
 CO159xx-2 Box of 10
- Assura Drainable
- EasiClose WIDE Outlet
- Opaque
- Filter, 2-Sided Soft Cloth
- 11 1/2 (29cm) / 530 mL
- HCPCS: A4427
Code |
Color |
15984 |
 |
15985 |
 |
15986 |
 |
|
 CO159xx-3 Box of 10
- Assura Drainable
- EasiClose WIDE Outlet
- Transparent
- Soft Cloth Back
- 11 1/2″ (29cm) / 530 mL
- HCPCS: A5063
Code |
Color |
15972 |
 |
15973 |
 |
|
 CO159xx-4 Box of 10
- Assura Drainable
- EasiClose WIDE Outlet
- Opaque
- 2-Sided Soft Cloth
- 11 1/2 (29cm) / 530 mL
- HCPCS: A5063
Code |
Color |
15982 |
 |
15983 |
 |
|
 CO139xx-1 Box of 10
- Assura Drainable
- EasiClose
- Transparent
- Filter
- 11 1/4″ (28.5cm) / 530 mL
- HCPCS: A4427
Code |
Color |
13974 |
 |
13975 |
 |
139763 |
 |
|
 CO139xx-2 Box of 10
- Assura Drainable
- EasiClose
- Opaque
- Filter, 2-Sided Soft Cloth
- 11 1/4″ (28.5cm) / 530 mL
- HCPCS: A4427
Code |
Color |
13984 |
 |
13985 |
 |
13986 |
 |
|
 CO159xx-5 Box of 10
- Assura Drainable
- EasiClose WIDE Outlet
- Opaque
- Filter, 2-Sided Soft Cloth
- 10 1/2″ (26.5cm) / 530 mL
- HCPCS: A4427
Code |
Color |
15954 |
 |
15955 |
 |
15956 |
 |
|
 CO139xx-3 Box of 10
- Assura Drainable
- EasiClose
- Opaque
- Filter, 2-Sided Soft Cloth
- 10 1/4″ (26cm) / 390 mL
- HCPCS: A4427
Code |
Color |
13964 |
 |
13965 |
 |
13966 |
 |
|
 CO139xx-4 Box of 10
- Assura Drainable
- EasiClose WIDE Outlet
- Opaque
- Filter, 2-Sided Soft Cloth
- 9 1/4″ (23.5cm) / 230 mL
- HCPCS: A4427
Code |
Color |
13924 |
 |
13925 |
 |
13926 |
 |
|
 CO125xx-2 Box of 10
- Assura Drainable
- Secure Locking System
- 5 Pouch Clamps Included
- Opaque
- Filter, Soft Cloth Backing
- 9 3/4″ (24.5cm) / 400 mL
- HCPCS: A4426
Code |
Color |
12527 |
 |
12528 |
 |
12529 |
 |
|
 CO125xx-3 Box of 10
- Assura Drainable Pouch
- Includes 5 Pouch Clamps
- Transparent
- Soft Cloth Backing
- 11 1/4″ (28.5cm) / 560 mL
- HCPCS: A4426
Code |
Color |
12567 |
 |
12568 |
 |
12569 |
 |
|
 CO125xx-4 Box of 10
- Assura Drainable Pouch
- Includes 5 Pouch Clamps
- Opaque
- Soft Cloth Backing
- 11 1/4″ (28.5cm) / 560 mL
- HCPCS: A4426
Code |
Color |
12577 |
 |
12578 |
 |
12579 |
 |
|
 CO123xx-1 Box of 30
- Assura Closed Pouch
- Transparent
- Secure Locking System
- Filter, 2-Sided Soft Cloth
- 7″ (18cm) / 170 mL
- HCPCS: A4423
Code |
Color |
12344 |
 |
12345 |
 |
12346 |
 |
|
 CO123xx-2 Box of 30
- Assura Closed Pouch
- Opaque
- Secure Locking System
- Filter, 2-Sided Soft Cloth
- 7″ (18cm) / 170 mL
- HCPCS: A4423
Code |
Color |
12354 |
 |
12355 |
 |
12356 |
 |
|
 CO123xx-3 Box of 30
- Assura Closed Pouch
- Secure Locking System
- Opaque
- Soft Cloth Backing
- 8 1/2″ (21cm) / 560 mL
- HCPCS: A4423
Code |
Color |
12374 |
 |
12375 |
 |
12376 |
 |
|
 CO123xx-4 Box of 30
- Assura Closed Pouch
- Transparent
- Secure Locking System
- Soft Cloth Backing
- 8 1/2″ (21cm) / 560 mL
- HCPCS: A4423
Code |
Color |
12384 |
 |
12385 |
 |
12386 |
 |
|
 CO280x-1 Box of 30
- Assura Stoma Cap
- Secure Locking System
- Filter
- HCPCS: A5055
Code |
Color |
2801 |
 |
2802 |
 |
|
|
Assura Two-Piece Pouches (Adhesive)
 CO14379 Box of 20
- Assura Drainable Pouch
- X-Large, EasiClose
- Opaque
- Filter, 2-Sided Soft Cloth
- 12 1/2″ (32cm) / 750 mL
- HCPCS: A4425
Code |
Color |
14379 |
 |
|
 CO14527 Box of 20
- Assura Drainable Pouch
- X-Large, EasiClose
- Transparent
- 12 1/2″ (32cm) / 750 mL
- HCPCS: A5063
Code |
Color |
14527 |
 |
|
 CO143xx-3 Box of 20
- Assura AC Drainable Pouch
- EasiClose
- Transparent
- Filter
- 11 1/4″ (28.5cm) / 530 mL
- HCPCS: A4425
Code |
Color |
14356 |
 |
14357 |
 |
14358 |
 |
14359 |
 |
|
 CO143xx-4 Box of 20
- Assura AC Drainable Pouch
- EasiClose
- Opaque
- Filter, 2-Sided Soft Cloth
- 11 1/4″ (28.5cm) / 530 mL
- HCPCS: A4425
Code |
Color |
14361 |
 |
14362 |
 |
14363 |
 |
14364 |
 |
|
 CO145xx-3 Box of 20
- Assura AC Drainable Pouch
- EasiClose
- Transparent
- Soft Cloth Back
- 11 1/4″ (28.5cm) / 530 mL
- HCPCS: A4425
Code |
Color |
14521 |
 |
14528 |
 |
|
 CO145xx-4 Box of 20
- Assura AC Drainable Pouch
- EasiClose
- Opaque
- 2-Sided Soft Cloth
- 11 1/4″ (28.5cm) / 530 mL
- HCPCS: A4425
Code |
Color |
14525 |
 |
14529 |
 |
|
 CO143xx-5 Box of 20
- Assura AC Drainable Pouch
- EasiClose
- Transparent
- Filter
- 10 1/4″ (26cm) / 410 mL
- HCPCS: A4425
Code |
Color |
14341 |
 |
14342 |
 |
14344 |
 |
|
 CO143xx-6 Box of 20
- Assura AC Drainable Pouch
- EasiClose
- Transparent
- Filter, 2-Sided Cloth Back
- 10 1/4″ (26cm) / 410 mL
- HCPCS: A4425
Code |
Color |
14346 |
 |
14347 |
 |
14348 |
 |
14349 |
 |
|
 CO143xx-7 Box of 30
- Assura AC Closed Pouch
- Transparent
- Filter and Soft Backing
- 8 1/2″ (21.5cm) / 500 mL
- HCPCS: A4419
Code |
Color |
14326 |
 |
14327 |
 |
14328 |
 |
14329 |
 |
|
 CO143xx-8 Box of 20
- Assura AC Closed Pouch
- Opaque
- Filter and Soft Backing
- 8 1/2″ (21.5cm) / 500 mL
- HCPCS: A4419
Code |
Color |
14331 |
 |
14332 |
 |
14333 |
 |
14334 |
 |
|
 CO143xx-9 Box of 30
- Assura AC Closed Pouch
- Transparent
- Filter and Soft Backing
- 7″ (18cm) / 250 mL
- HCPCS: A4419
Code |
Color |
14311 |
 |
14312 |
 |
14314 |
 |
|
 CO143xx-10 Box of 20
- Assura AC Closed Pouch
- Opaque
- Filter and Soft Backing
- 7″ (18cm) / 250 mL
- HCPCS: A4419
Code |
Color |
14316 |
 |
14317 |
 |
14318 |
 |
14319 |
 |
|
 CO14355 Box of 30
- Assura AC Closed Pouch
- X-Large
- Opaque
- Filter and Soft Backing
- 10 1/2″ (26.5cm) / 850 mL
- HCPCS: A4419
Code |
Color |
14355 |
 |
|
|
Assura Two-Piece Single Use Kits
CO11001 Box of 5
- Assura Drainable Pouch (15976)
- Standard Convex Light Barrier (14263)
- Cut-to-fit
- Instructions for Use
- Stoma Measuring Guide
- HCPCS: 4373,4427
Code |
Size |
Color |
11001 |
3/4″-1 3/4″ (15-43mm) |
 |
|
CO11002 Box of 5
- Assura Drainable Pouch (15976)
- Standard Non-Convex Barrier (2883)
- Cut-to-fit
- Instructions for Use
- Stoma Measuring Guide
- HCPCS: 4414,4427
Code |
Size |
Color |
11002 |
3/8″-2 1/4″ (10-55mm) |
 |
|
CO11006 Box of 5
- Assura AC Drainable Pouch (14521)
- Standard AC Convex Light Barrier (14303)
- Cut-to-fit
- Instructions for Use
- Stoma Measuring Guide
- HCPCS: 4373,4427
Code |
Size |
Color |
11006 |
3/8″-1 7/8″ (10-48mm) |
 |
|
CO11003 Box of 5
- Assura AC Drainable Pouch (14528)
- Standard AC Convex Light Barrier (14303)
- Cut-to-fit
- Instructions for Use
- Stoma Measuring Guide
- HCPCS: 4415,5063
Code |
Size |
Color |
11003 |
3/8″-2 3/4″ (10-70mm) |
 |
|
CO11007 Box of 5
- Assura Urostomy Pouch (14554)
- Extra-Extended Non-Convex Barrier (14305)
- Urostomy Adapter
- Instructions
- Stoma Measuring Guide
- HCPCS: 4409,5073
Code |
Size |
Color |
11007 |
3/8″-1 7/8″ (10-48mm) |
 |
|
CO11004 Box of 5
- Assura Urostomy Pouch (1759)
- Extra-Extended Non-Convex Barrier (10031)
- Urostomy Adapter
- Instructions
- Stoma Measuring Guide
- HCPCS: 4409,5073
Code |
Size |
Color |
15860 |
3/8″-2 3/4″ (10-70mm) |
 |
|
Coloplast Pediatric One-Piece ColoKids Ostomy System
 CO2115 Box of 10
- ColoKids Non-Convex Drainable
- Flexible Skin Barrier
- No Filter, Odor-Proof Film
- Transparent
- Soft Cloth Backing
- 8 1/2″ (21cm) / 150 mL
- HCPCS: 5061
Code |
Cut |
Size |
2115 |
Cut-to-fit |
5/8″-1 1/2″ (15-35mm) |
|
 CO8009 Box of 10
- ColoKids Non-Convex Urostomy
- Flexible Skin Barrier
- Odor-Proof Film
- Transparent
- Soft Cloth Backing
- Anti-Reflux Valve
- 8 1/2″ (21cm) / 150 mL
- HCPCS: 5071
Code |
Cut |
Size |
8009 |
Cut-to-fit |
5/8″-1 1/2″ (15-35mm) |
|
 CO2125 Box of 30
- ColoKids Non-Convex Closed
- Flexible Skin Barrier
- Filter, Odor-Proof Film
- Transparent
- Soft Cloth Backing
- 5 3/4″ (14.5cm)
- HCPCS: 4416
Code |
Cut |
Size |
2125 |
Cut-to-fit |
5/8″-1 1/2″ (15-35mm) |
|
 CO2120 Box of 30
- ColoKids Non-Convex Closed
- Flexible Skin Barrier
- Filter, Odor-Proof Film
- Opaque
- Soft Cloth Backing
- 5 3/4″ (14.5cm)
- HCPCS: 4416
Code |
Cut |
Size |
2125 |
Cut-to-fit |
5/8″-1 1/2″ (15-35mm) |
|
Coloplast Pediatric Two-Piece ColoKids Ostomy System
 CO143xx-11 Box of 10
- Assura AC Pediatric Barrier
- Standard Wear
- No Started Hole
- HCPCS: 4414
Code |
Size |
Color |
14307 |
0″-5/8″ (17mm) |
 |
14308 |
0″-1″ (27mm) |
 |
|
 CO2128 Box of 5
- Assura Non-Convex Barrier
- Standard Wear
- Secures with Minimal Pressure
- For Green Sensura/Assura Pouches
- HCPCS: 4414
Code |
Size |
Color |
2128 |
3/8″-1 1/2″ (10-35mm) |
 |
|
Coloplast Pediatric Two-Piece ColoKids Ostomy System
 CO146xx-10 Box of 10
- Assura AC Pediatric Barrier
- Easiclose Pouch
- Transparent
- Integrated Closure / Filter
- HCPCS: 4425
Code |
Size |
Color |
14681 |
5 1/2″ (14mm) |
 |
14682 |
6 1/4″ (16mm) |
 |
|
 CO146xx-2 Box of 10
- Assura AC Pediatric Barrier
- Easiclose Pouch
- Opaque (Teddy Bears)
- Integrated Closure / Filter
- HCPCS: 4425
Code |
Size |
Color |
14691 |
5 1/2″ (14mm) |
 |
14692 |
6 1/4″ (16mm) |
 |
|
 CO2156 Box of 10
- Assura Pediatric Drainable
- Filter and Soft Backing
- Transparent
- 8 1/2″ (21cm) / 150 mL
- HCPCS: 4427
Code |
Color |
2156 |
 |
|
 CO2161 Box of 10
- Assura Pediatric Closed
- Soft Cloth Backing
- Odor Proof Film
- Locking System Reduces Pressure
- HCPCS: 4423
Code |
Size |
Color |
2161 |
5 3/4″ (14.5mm) |
 |
|
 CO1789 Box of 10
- Assura Pediatric Urostomy Pouch
- Filter and Soft Backing
- Anti-Reflux Valve
- 8 1/2″ (21cm) / 150 mL
- HCPCS: 4427
Code |
Color |
1789 |
 |
|
|
Coloplast Ostomy Accessories
 CO32xx-1 Box of 3
- Skin Barrier
- Total Skin Protection
- For Stomas / Draining Wounds
- Non-Pectin Based
- 3210 – Box of 5
- HCPCS: 4362,5121,5122
Code |
Size |
3210 |
4×4″(10x10cm) |
3215 |
6×6″(15x15cm) |
3220 |
8×8″(20x20cm) |
|
 CO23xx-1 Box of 30
- Skin Barrier Rings
- Flexible and Soft
- Total Skin Protection
- For Stomas / Draining Wounds
- Non-Pectin Based
- HCPCS: 4404
Code |
Size |
2310 |
3/8″ (10mm) |
2315 |
3/5″ (15-35mm) |
2320 |
3/4″ (20mm) |
2325 |
1″ (25mm) |
2330 |
1 1/8″ (30mm) |
2340 |
1 3/5″ (40mm) |
2350 |
2″ (50mm) |
|
 CO26xx-1 Box of 12
- Ostomy Paste
- Protects stoma skin
- Fills uneven skin surfaces
- Creates flat pouch surface
- Low Alcohol Content
- 2651 Contains Pectin
- HCPCS: 4405,4406
Code |
Size |
2650 |
2 Oz. (57g) |
2651 |
2 Oz. (57g) |
|
 CO2655 Box of 10
- Protects stoma skin
- Fills uneven skin surfaces
- Creates flat pouch surface
- For Stomas / Draining Wounds
- Pectin Based, Alcohol Free
- HCPCS: 4406
Code |
Size |
2655 |
2 Oz. (57g) |
|
 CO2041 Case of 12
- Prep Protective Skin Barrier
- Clear Film
- Protects against irritants
- No removal necessary
- HCPCS: 5519,4369
Code |
Size |
2041 |
54 Wipes/Box |
0925 |
2 Oz. (59mL) |
|
 CO0509 Box of 50
- Filtrodor Pouch Filters
- Charcoal-Activated
- Deodorizing
- Adheres to Pouch
- HCPCS: 4368
|
 CO9500 Box of 20
- Drainable Pouch Clamp
- Simple Closure Clamp
- HCPCS: 4363
|
 CO042x-1 Box of 10
- Ostomy Belt (Adjustable)
- Elastic Belt
- 90% Cotton / 10% Rayon
- Polypropylene Clasps
- 0420 for MC/PC
- 0421 for Assura/SenSura
- HCPCS: 4367
Code |
Size |
0420 |
43 1/3″ Length |
0421 |
43 1/3″ Length |
|
 CO7680/CO15xx-1
- O.A.D. Liquid Ostomy Deodorant
- Elimiates Odors of Urine/Feces
- Only a few drops are required
- Used to rinse appliances
- HCPCS: 4394
Code |
Size |
7680 |
2 Fl. Oz. (59 mL) |
1527 |
4 Fl. Oz. (118 mL) |
1525 |
8 Fl. Oz. (237 mL) |
|
 CO1907 Box of 16
- Ostomy Powder
- Non-Sterile
- HCPCS: 4371
Code |
Size |
1907 |
1 Oz. (25g) |
|
 CO280x-1 Box of 30
- Coloplast Uro Minicap
- For Discreet Situations
- Holds 100 mL of Urine
- Lasts 1/2 to 1 hour
- Secure Locking System
- Odor Barrier and Quiet Film
- HCPCS: 5055
Code |
Size |
2807 |
 |
2808 |
 |
|
 CO128xx-1 Box of 20/15
- Window for Post-Op Pouches
- HCPCS: 4421
Code |
Size |
12801 |
1/2″-2 3/4″ (13-70mm) |
12803 |
1/2″-3 7/8″ (13-100mm) |
|
 CO23165 Box of 10
- Urostomy Night Bag
- Fits SenSura and Assura Bags
- Holds 2 Liters
- 120cm Flexible Tube
- Anti-Reflux Valve
- HCPCS: 4357
|
CO14010 Box of 6
- For Fistula Output
- Holds up to 2000 mL
- Used with Fistula Wound Managers
|
 CO5070 Box of 1
- Bed Hanger
- Secures Tubing
- Ensurse Bag Stability
|
|
Irrigation Sets
 CO1500 Box of 1
- Coloplast Economy Version
- Durable Water Bag
- Integrated Thermometer
- For both 1- and 2-Piece Systems
- 1 Water Bag/Regulator (A4398)
- 1 Cone (A4399)
Code |
Includes |
1500 |
1 Water Bag, 1 Cone |
|
 CO1500H Box of 1
- Durable Water Bag
- Integrated Thermometer
- Bold Print/Large Opening
- For 1- 2-Piece Ostomy Systems
- 1 Water Bag/Regulator (A4398)
- 1 Cone (A4399)
- 4 Adhesive Sleeves (A4397)
- 2 Closure Clips
Code |
Size |
1500H |
3/8″ (10mm) |
|
 CO12830 Box of 1
- Assura Deluxe Version
- Comes in a Travel Bag
- For both 1- and 2-Piece Systems
- 1 Water Bag/Regulator (A4398)
- 1 Cone (A4399)
- 1 Irrigation Faceplate (A4367)
- 1 Belt (A4367)
- 2 Irrigation Sleeves (#12836,A4397)
|
 CO1501 Box of 1
- Coloplast Deluxe Version
- Travel Bag
- For both 1- and 2-Piece Systems
- 1 Water Bag/Regulator (A4398)
- 1 Cone (A4399)
- 1 Irrigation Faceplate (A4367)
- 1 Belt (A4367)
- 2 Irrigation Sleeves (#1560, A4397)
|
 CO1003 Box of 10
- Irrigation Sleeves
- Disposable, Adhesive-Backed
- Transparent
- HCPCS: 4397
|
 CO128xx-2 Box of 5
- Irrigation Sleeves
- For SenSura and Assura Barriers
- HCPCS: 4397
Code |
Colors |
12834 |
 |
12835 |
 |
12836 |
 |
|
 CO15xx-2 Box of 5
- For Coloplast Barriers / Faceplates
- Disposable, Adhesive-Backed
- Transparent
- HCPCS: 4397
|
|
Miscellaneous Accessories
 CO12820 Box of 1
- Sensura or Assura Faceplate
- For use with Ostomy Belt
- Use with #12836 Sleeve
- HCPCS: 4361
|
 CO1120 Box of 1
- Coloplast Irrigation Faceplate
- For use with Ostomy Belt
- Use with #1560 Sleeve
- HCPCS: 4361
|
 CO1110 Box of 1
- Coloplast Stoma Cone
- Soft and flexible cone
- Includes tubing
- HCPCS: 4399
|
|