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Ostomy Care
OstomyCare
H o l l i s t e r I n c o r p o r a t e d 1 . 8 8 8 . 7 4 0 . 8 9 9 92
HCPCS Codes DisclaimerThe 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 Stock No. Description 42828-9977-02 529977 Restore Cleanser & Moisturizer, 7.5 oz 42828-9978-03 529978 Restore Cleanser & Moisturizer, 11.5 oz 42828-9979-01 529979 Restore Dimethicreme Skin Protectant, 4 oz
General Information
3w w w . h o l l i s t e r . c o m H o l l i s t e r I n c o r p o r a t e d
Latex StatementThe 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
9606 * 9607 * 9608 * 9609 * 9626 * 9627 *
9628 * 9629 * 9636 †9637 †9638 †9639 †
9656 †9657 †9658 †9659 †9803 ‡9806 *
9807 * 9808 *9809 *9813 ‡9816 †9817 †
9818 †9824 ‡9825 ‡9826 * 9827 *9828 *
9829 *9897 †9898 †
Discontinued Stock Numbers:
How to Use The Hollister Products CatalogHollister 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.
9w w w . h o l l i s t e r . c o m H o l l i s t e r I n c o r p o r a t e d
ContentsQuick 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
Table of Contents • Ostomy Care
Secure Start services are here for your patients every step of the way.
Learn more on page 145
Ostomy Care Products
H o l l i s t e r I n c o r p o r a t e d 1 . 8 8 8 . 7 4 0 . 8 9 9 910
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
11w w w . h o l l i s t e r . c o m H o l l i s t e r I n c o r p o r a t e d
Quick Reference for Product Selection
New Image Convex Barriers 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm)
FlextendA4407
Cut-to-Fit
WithTape
14802up to 1" (25 mm)
14803up to 1-1/2" (38 mm)
14804up to 2" (51 mm)
WithoutTape
15802up to 1" (25 mm)
15803up to 1-1/2" (38 mm)
15804 (A4408)up to 2" (51 mm)
Pre-Sized
WithTape
149015/8"
(16 mm)
149023/4"
(19 mm)
149037/8"
(22 mm)
149041"
(25 mm)
14905 1-1/8"
(29 mm)
149061-1/4"
(32 mm)
149071-3/8"
(35 mm)
149081-1/2"
(38 mm)
149091-5/8"
(41 mm)
149101-3/4"
(44 mm)
149112"
(51 mm)
WithoutTape
159037/8"
(22 mm)
159041"
(25 mm)
159051-1/8"
(29 mm)
159061-1/4"
(32 mm)—
FlexWearA4373
Cut-to-Fit
WithTape
14402up to 1" (25 mm)
14403up to 1-1/2" (38 mm)
14404up to 2" (51 mm)
WithoutTape
15402up to 1" (25 mm)
15403up to 1-1/2" (38 mm)
15404up to 2" (51 mm)
Pre-Sized
WithTape
145037/8" (22 mm)
145041" (25 mm)
145051-1/8" (29 mm)
145061-1/4" (32 mm) —
WithoutTape
155037/8" (22 mm)
155041" (25 mm)
155051-1/8" (29 mm)
155061-1/4" (32 mm) —
convex product
New Image Two-Piece Convex Skin Barriers with Integrated Floating Flange (see pages 28 – 29)
New Image Flat Barriers 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) 4" (102 mm)
FlextendA4409
Cut-to-Fit
WithTape
14602up to 1-1/4" (32 mm)
14603up to 1-3/4" (44 mm)
14604up to 2-1/4" (57 mm)
14606 (A4410)up to 3-1/2" (89 mm)
WithoutTape
15602up to 1-1/4" (32 mm)
15603up to 1-3/4" (44 mm)
15604 (A4410)up to 2-1/4" (57 mm) —
Pre-Sized
WithTape 1470x 14707
1-3/8" (35 mm)14708
1-1/2" (38 mm)14709
1-3/4" (44 mm) — —
WithoutTape 1610x 16107
1-3/8" (35 mm)16108
1-1/2" (38 mm) — —
FlexWearA4414
Cut-to-Fit
WithTape
14202up to 1-1/4" (32 mm)
14203up to 1-3/4" (44 mm)
14204up to 2-1/4" (57 mm)
14206 (A4415)up to 3-1/2" (89 mm)
WithoutTape
15202up to 1-1/4" (32 mm)
15203up to 1-3/4" (44 mm)
15204 (A4415)up to 2-1/4" (57 mm) —
Pre-Sized
WithTape 1430x 14307
1-3/8" (35 mm)14308
1-1/2" (38 mm)14309
1-3/4" (44 mm) — —
WithoutTape 1640x 16407
1-3/8" (35 mm)16408
1-1/2" (38 mm) — —
FormaFlexA4409
Shape- to-Fit
WithTape
14102up to 1-1/4" (32 mm)
14103up to 1-11/16" (43 mm)
14104up to 2-1/4" (57 mm) —
New Image Two-Piece Flat Skin Barriers with Integrated Floating Flanges (see pages 25 – 27)
H o l l i s t e r I n c o r p o r a t e d 1 . 8 8 8 . 7 4 0 . 8 9 9 912
Quick Reference for Product Selection
New Image Closed Pouches 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm)
9"(23 cm)
FilterA4419
Transparent 18362 18363 18364
Beige 18372 18373 18374
FilterQuietWear
A4419Beige 18322 18323 18324
No FilterQuietWear
A5054Beige 18332
(box of 60)18732
(box of 30)18333
(box of 60)18733
(box of 30)18334
(box of 60)18734
(box of 30)
7" (18 cm)
FilterA4419
Transparent 18382 18383 18384
Beige 18392 18393 18394
No FilterA5054 Beige 18352
(box of 60)18752
(box of 30)18353
(box of 60)18753
(box of 30)18354
(box of 60)18754
(box of 30)
New Image Drainable Pouches 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) 4" (102 mm)
Lock ’n Roll
FilterA4425
Transparent 18192 18292 18193 18293 18194 18294 —
Beige 18182 18282 18183 18283 18184 18284 —
No Filter
A5063
Transparent 18132 18133 18134 —
Ultra-Clear 18002 18003 18004 18006
Beige 18112 18113 18114 —
Pouch Clamp
FilterA4425
Transparent 18162 18163 18164 —
Beige 18142 18143 18144 —
No Filter
A5063
Transparent 18102 18103 18104 —
Ultra-Clear 18172 18173 18174 18176
Beige 18122 18202 18123 18203 18124 18204 —
High OutputWith
Soft Tap
No Filter
A4412Ultra-Clear 18012 18013 18014 18016
New Image Two-Piece Drainable Pouches (see pages 30 – 32)
New Image Two-Piece Closed Pouches (see pages 32 – 33)
13w w w . h o l l i s t e r . c o m H o l l i s t e r I n c o r p o r a t e d
Quick Reference for Product Selection
New Image Urostomy Pouches 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm)
9" (23 cm)A4432
Transparent 18402 18403 18404
Ultra-Clear 18422 18423 18424
Beige 18412 18413 18414
New Image Single-Use Kits 1-3/4" (44 mm) 2-1/4" (57 mm) 2-3/4" (70 mm) 4" (102 mm)
Drainable, No Filter, FlexWear, With TapeA5063 +A4414
Lock ’n Roll
NonSterile Ultra-Clear 19002 19003 19004 19006
(A5063 + A4415)
Sterile Ultra-Clear 19052 19053 19054 19056(A5063 + A4415)
Pouch Clamp
NonSterile Ultra-Clear 19102 19103 19104 19106
(A5063 + A4415)
Sterile Ultra-Clear 19152 19153 19154 19156(A5063 + A4415)
Urostomy,Flextend, With TapeA4432 +A4409
—
NonSterile Ultra-Clear 19202 19203 19204 —
Sterile Ultra-Clear 19252 19253 19254 —
New Image Two-Piece Urostomy Pouches and Single Use Kits (see pages 33 – 35)
H o l l i s t e r I n c o r p o r a t e d 1 . 8 8 8 . 7 4 0 . 8 9 9 914
Quick Reference for Product Selection
Premier PouchesDrainable with Flat Barriers
Cut-to-Fit Pre-Sized
up to 2-1/2" (64 mm)
3/4" (19 mm)
1" (25 mm)
1-3/16" (30 mm)
1-1/4" (32 mm)
1-3/8" (35 mm)
1-1/2" (38 mm)
1-9/16" (40 mm)
1-3/4" (44 mm)
2" (51 mm)
2-1/2" (64 mm)
Flextend, Filter,
With Tape A5056
Lock ’n Roll
12" (30 cm) Transparent 8331 — — — — — — — — — —
Flextend, No Filter, With Tape
A4388
Lock ’n Roll
12" (30 cm)
Transparent — — 8532 — 8538 — 8533 — 8539 — —
Ultra-Clear 8531 — — — — — — — — — —
Beige 8551 — 8552 — 8558 — 8553 — 8559 — —
Pouch Clamp
9" (23 cm)
Transparent 8641 — — — — — — — — — —
Beige — 8647 8642 — 8648 — 8643 — 8649 8644 —
12" (30 cm)
Transparent 8631 8637 8632 — 8638 — 8633 — 8639 8634 8635
Ultra-Clear 8651 — — — — — — — — — —
FlexWear, Filter,
With Tape A4424
Lock ’n Roll
12" (30 cm)
Transparent 8081 — 8025 8030 — 8035 — 8040 — — —
Beige 8181 — 8125 8130 — 8135 — 8140 — — —
FlexWear, No Filter, With Tape
A5061
Lock ’n Roll
12" (30 cm) Ultra-Clear 8031 — — — — — — — — — —
Pouch Clamp
12" (30 cm) Ultra-Clear 8131 — — — — — — — — — —
SoftFlex, Filter,
Without Tape A4424
Lock ’n Roll
7" (18 cm)
Transparent 88800* — — — — — — — — — —
Beige 88700* — 88725 88730 — 88735 — 88740 — — —
12" (30 cm)
Transparent 88400*, 88402** — 88425 88430 — 88435 — 88440 — — —
Beige 88300*, 88302** — 88325 88330 — 88335 — 88340 — — —
SoftFlex, No Filter,
Without Tape A5061
Lock ’n Roll
12" (30 cm) Ultra-Clear 88401 — — — — — — — — — —
Pouch Clamp
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)
Premier One-Piece Drainable Pouches with Flat Barriers (see pages 41– 46)
15w w w . h o l l i s t e r . c o m H o l l i s t e r I n c o r p o r a t e d
Quick Reference for Product Selection
Premier PouchesDrainable with Convex Barriers
Cut-to-Fit Pre-Sized
up to 1"(25 mm)
up to 1-1/2"(38 mm)
up to 2"(51 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)
Flextend,With Filter,With Tape
A5057
Lock ’n Roll Transparent 8584 8588 85811 — — — — — — — — — —
Flextend,No Filter,With Tape
A4390
Lock ’n Roll
Transparent 8524 8528 85211 8510 8511 8512 8513 8514 8515 85116 — 85118 85119
Beige 8504 8508 85011 8590 8591 8592 8593 8594 8595 8596 8597 — 8599
PouchClamp Transparent 8624 8628 86211 8610 8611 8612 8613 8614 8615 8616 8617 8618 8619
12"
(30
cm)
Premier PouchesHigh Output Drainable with Flat Barriers
Cut-to-Fit
up to 2-3/4" (70 mm) up to 4-1/3" (110 mm)
Flextend, No Filter,
Without TapeA6154
With Soft Tap 12" (30 cm)
Non Sterile 80070 80110
Sterile 81070 81110
Premier Closed PouchesCut-to-Fit Pre-Sized
up to 2-1/8" (55 mm) 1" (25 mm) 1-3/16" (30 mm) 1-3/8" (35 mm)
SoftFlex, Filter, Without Tape
A4416
9" (23 cm)Transparent 82400, 82402* — — —
Beige 82300, 82302* 82325 82330 82335
7" (18 cm)Transparent 82500 — — —
Beige 82100 82125 82130 82135
*Oval cut-to-fit 3 x 2.5" (75 mm x 65 mm)
Premier High Output Drainable Pouches (see page 48)
Premier One-Piece Drainable Pouches with Convex Barriers (see pages 46 – 47)
Premier One-Piece Closed Pouches (see pages 50 – 51)
convex product
H o l l i s t e r I n c o r p o r a t e d 1 . 8 8 8 . 7 4 0 . 8 9 9 916
Quick Reference for Product Selection
Flat
A44
28Co
nvex
A44
30
Premier Single-Use Kits—Non Sterile up to 2-1/2" (64 mm)
Drainable(SoftFlex)A5061
Lock ’n Roll Without Tape Ultra-Clear 89001
Pouch Clamp Without Tape Ultra-Clear 89002
Drainable(Flextend)
A4388
Lock ’n Roll With Tape Ultra-Clear 89004
Pouch Clamp With Tape Ultra-Clear 89003
Urostomy(Flextend)
A4428With Tape Ultra-Clear 89005
Premier Single Use Kits (see pages 52– 53)
convex product
Premier Urostomy Pouches
Cut-to-Fit Pre-Sized
up to 1"(25 mm)
up to 1-1/2"(38 mm)
up to 2"(51 mm)
up to 2-1/2"(64 mm)
1/2"(13 mm)
5/8"(15 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)
2"(51 mm)
Flextend
Transparent — — — 8460 — — 8467 — 8462 — 8468 — 8463 8469 8464
Ultra-Clear — — — 8450 — — — — — — — — — — —
Beige — — — 8440 — — 8447 — 8442 — 8448 — 8443 8449 8444
Transparent 8474 8478 84711 — 8480 8481 8482 8483 8484 8485 8486 8487 8488 8489 —
Beige 8434 8438 84311 — 8490 8491 8492 8493 8494 8495 8496 8497 8498 8499 —
Premier One-Piece Urostomy Pouches (see pages 51– 52)
Conv
ex A
4430
Fla
t A44
28
17w w w . h o l l i s t e r . c o m H o l l i s t e r I n c o r p o r a t e d
Medicare’s Usual Maximum Quantity for Ostomy SuppliesThe 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.
Medicare Utilization Chart
HCPCS Long Description Quantity
A4331 Extension drainage tubing, any type, any length, with ✳ connector/adapter, for use with urinary leg bag or urostomy pouch, each
A4357 Bedside 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 moA4362 Skin barrier, solid, 4 x 4 or equivalent, each 20 ea/moA4363 Ostomy clamp, any type, replacement only, each ✳
A4364 Adhesive, liquid or equal, any type, per ounce 4 oz/moA4366 Ostomy vent, any type, each ✳
A4367 Ostomy belt, each 1 ea/moA4368 Ostomy filter, any type, each ✳
A4369 Ostomy skin barrier, liquid (spray, brush, etc.), per ounce 2 oz/moA4371 Ostomy skin barrier, powder, per ounce 10 oz/6 moA4372 Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear ✳
with built-in convexity, eachA4373 Ostomy skin barrier, with flange (solid, flexible, or accordion), ✳
with built-in convexity, any size, eachA4375 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, eachA4378 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/moA4382 Ostomy pouch, urinary, for use on faceplate, ✳ heavy plastic, eachA4383 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), eachA4388 Ostomy pouch, drainable, with extended wear barrier ✳ attached, (1 piece), eachA4389 Ostomy pouch, drainable, with barrier attached, with built-in ✳ convexity (1 piece), each
✳ No established usual maximum, refer to Medicare Utilization Guidelines.
H o l l i s t e r I n c o r p o r a t e d 1 . 8 8 8 . 7 4 0 . 8 9 9 918
Medicare Utilization Chart
A4390 Ostomy pouch, drainable, with extended wear barrier ✳ attached, with built-in convexity (1 piece), eachA4391 Ostomy pouch, urinary, with extended wear barrier ✳ attached (1 piece), eachA4392 Ostomy pouch, urinary, with standard wear barrier ✳ attached, with built-in convexity (1 piece), eachA4393 Ostomy pouch, urinary, with extended wear barrier ✳ attached, with built-in convexity (1 piece), eachA4394 Ostomy deodorant, with or without lubricant, for use in ✳ ostomy pouch, liquid, per fluid ounceA4395 Ostomy deodorant for use in ostomy pouch, solid, ✳ per tabletA4396 Ostomy belt with peristomal hernia support ✳
A4397 Irrigation supply, sleeve, each 4 ea/moA4398 Ostomy irrigation supply, bag, each 2 ea/6 moA4399 Ostomy irrigation supply, cone/catheter, with or without brush 2 ea/6 moA4402 Lubricant, per ounce 4 oz/moA4404 Ostomy ring, each 10 ea/moA4405 Ostomy skin barrier, non-pectin based, paste, per ounce 4 oz/moA4406 Ostomy skin barrier, pectin-based, paste, per ounce 4 oz/moA4407 Ostomy skin barrier, with flange (solid, flexible, or ✳ accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, eachA4408 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, eachA4410 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 ✳
A4413 Ostomy pouch, drainable, high output, for use on a ✳ barrier with flange (2 piece system), with filter, each
A4414 Ostomy skin barrier, with flange (solid, flexible, or 20 ea/mo accordion), without built-in convexity, 4 x 4 inches or smaller, each
A4415 Ostomy skin barrier, with flange (solid, flexible, or 20 ea/mo accordion), without built-in convexity, larger than 4 x 4 inches, each
A4416 Ostomy 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
HCPCS Long Description Quantity
✳ No established usual maximum, refer to Medicare Utilization Guidelines.
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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), eachA4425 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 A4428 Ostomy pouch, urinary, with extended wear barrier ✳
attached, with faucet-type tap with valve (1 piece), each A4429 Ostomy pouch, urinary, with barrier attached, with built-in 20 ea/mo
convexity, with faucet-type tap with valve (1 piece), each A4430 Ostomy pouch, urinary, with extended wear barrier ✳
attached, with built-in convexity, with faucet-type tap with valve (1 piece), each
A4431 Ostomy pouch, urinary, with barrier attached, with 20 ea/mo faucet-type tap, with valve (1 piece), each
A4432 Ostomy pouch, urinary, for use on barrier with 20 ea/mo non-locking flange, with faucet-type tap with valve (2 piece), each
A4433 Ostomy pouch, urinary, for use on barrier with 20 ea/mo locking flange (2 piece), each
A4434 Ostomy 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)/moA4452 Tape, waterproof, per 18 square inches 40 ea (18 sq in)/moA4455 Adhesive 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/moA5054 Ostomy pouch, closed, for use on barrier with flange 60 ea/mo
(2 piece), eachA5055 Stoma Cap 31 ea/moA5056 Ostomy pouch, drainable, with extended wear barrier ✳ attached, with filter, (1 piece), eachA5057 Ostomy pouch, drainable, with extended wear barrier ✳ attached, with built-in convexity, with filter, (1 piece), eachA5061 Ostomy pouch, drainable, with barrier attached 20 ea/mo (1 piece), each A5062 Ostomy pouch, drainable, without barrier attached 20 ea/mo (1 piece), eachA5063 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), eachA5073 Ostomy pouch, urinary, for use on barrier with flange 20 ea/mo (2 piece), each
HCPCS Long Description Quantity
✳ No established usual maximum, refer to Medicare Utilization Guidelines.
H o l l i s t e r I n c o r p o r a t e d 1 . 8 8 8 . 7 4 0 . 8 9 9 920
Medicare Utilization Chart
A5081 Continent device, plug for continent stoma 31 ea/moA5082 Continent device, catheter for continent stoma 1 ea/moA5083 Continent device, stoma absorptive cover for continent stoma 150 ea/moA5093 Ostomy accessory, convex insert 10 ea/moA5102 Bedside drainage bottle with or without tubing, rigid or 2 ea/6 mo expandable, each A5120 Skin barrier, wipes or swabs, each 150 ea/6 moA5121 Skin barrier, solid, 6 x 6 or equivalent, each 20 ea/moA5122 Skin barrier, solid, 8 x 8 or equivalent, each 20 ea/moA5126 Adhesive or non-adhesive, disk or foam pad 20 ea/moA5131 Appliance cleaner, incontinence and ostomy 1 ea (16 oz btl)/mo appliances, per 16 ounce A6216 Gauze, non-impregnated, non sterile, pad size 16 sq in 60 ea/mo or less, without adhesive border, each dressing A9270 Non-covered item or service ✳
HCPCS Long Description Quantity
✳ No established usual maximum, refer to Medicare Utilization Guidelines.
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.
Did you know…
New ImageTwo-Piece Pouching
System
New Im
ageTw
o-Piece Pouching System
www.hollister.comHollister Ostomy. Details Matter.
New ImageTwo-Piece Pouching System
25w w w . h o l l i s t e r . c o m H o l l i s t e r I n c o r p o r a t e d
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).
Flat Skin Barriers with Integrated Floating Flanges
1460x (CUT-TO-FIT) Box of 5� Flextend (extended wear) Skin Barrier � With Tape Border
HCPCS for 14602, 14603 & 14604: A4409 HCPCS for 14606: A4410
Stock No Flange Size Barrier Opening
14602 c 1-3/4" (44 mm) up to 1-1/4" (32 mm)14603 c 2-1/4" (57 mm) up to 1-3/4" (44 mm)14604 c 2-3/4" (70 mm) up to 2-1/4" (57 mm)14606 c 4" (102 mm) up to 3-1/2" (89 mm)
1560x (CUT-TO-FIT) Box of 5� Flextend (extended wear) Skin Barrier � Without Tape Border
HCPCS for 15602 & 15603: A4409 HCPCS for 15604: A4410
Stock No Flange Size Barrier Opening
15602 c 1-3/4" (44 mm) up to 1-1/4" (32 mm)15603 c 2-1/4" (57 mm) up to 1-3/4" (44 mm)15604 c 2-3/4" (70 mm) up to 2-1/4" (57 mm)
1420x (CUT-TO-FIT) Box of 5� FlexWear (standard wear) Skin Barrier � With Tape Border
HCPCS for 14202, 14203 & 14204: A4414 HCPCS for 14206: A4415
Stock No Flange Size Barrier Opening
14202 c 1-3/4" (44 mm) up to 1-1/4" (32 mm)14203 c 2-1/4" (57 mm) up to 1-3/4" (44 mm)14204 c 2-3/4" (70 mm) up to 2-1/4" (57 mm)14206 c 4" (102 mm) up to 3-1/2" (89 mm)
1520x (CUT-TO-FIT) Box of 5� FlexWear (standard wear) Skin Barrier � Without Tape Border
HCPCS for 15202 & 15203: A4414 HCPCS for 15204: A4415
Stock No Flange Size Barrier Opening
15202 c 1-3/4" (44 mm) up to 1-1/4" (32 mm)15203 c 2-1/4" (57 mm) up to 1-3/4" (44 mm)15204 c 2-3/4" (70 mm) up to 2-1/4" (57 mm)
New Image Two-Piece Pouching System
1-3/4"(44 mm)
2-1/4"(57 mm)
2-3/4"(70 mm)
4"(102 mm)
New Image Two-Piece Pouching System
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New Image Two-Piece Pouching System
Flat Skin Barriers with Integrated Floating Flanges (continued)
1470x (PRE-SIZED) Box of 5� Flextend (extended wear) Skin Barrier � With Tape Border
HCPCS: A4409Stock No Flange Size Barrier Opening
14701 c 1-3/4" (44 mm) 5/8" (16 mm)14702 c 1-3/4" (44 mm) 3/4" (19 mm)14703 c 1-3/4" (44 mm) 7/8" (22 mm)14704 c 1-3/4" (44 mm) 1" (25 mm)14705 c 1-3/4" (44 mm) 1-1/8" (29 mm)14706 c 1-3/4" (44 mm) 1-1/4" (32 mm)14707 c 2-1/4" (57 mm) 1-3/8" (35 mm)14708 c 2-1/4" (57 mm) 1-1/2" (38 mm)14709 c 2-1/4" (57 mm) 1-3/4" (44 mm)
1610x (PRE-SIZED) Box of 5� Flextend (extended wear) Skin Barrier � Without Tape Border
HCPCS: A4409Stock No Flange Size Barrier Opening
16101 c 1-3/4" (44 mm) 5/8" (16 mm)16102 c 1-3/4" (44 mm) 3/4" (19 mm)16103 c 1-3/4" (44 mm) 7/8" (22 mm)16104 c 1-3/4" (44 mm) 1" (25 mm)16105 c 1-3/4" (44 mm) 1-1/8" (29 mm)16106 c 1-3/4" (44 mm) 1-1/4" (32 mm)16107 c 2-1/4" (57 mm) 1-3/8" (35 mm)16108 c 2-1/4" (57 mm) 1-1/2" (38 mm)
1430x (PRE-SIZED) Box of 5� FlexWear (standard wear) Skin Barrier � With Tape Border
HCPCS: A4414Stock No Flange Size Barrier Opening
14301 c 1-3/4" (44 mm) 5/8" (16 mm)14302 c 1-3/4" (44 mm) 3/4" (19 mm)14303 c 1-3/4" (44 mm) 7/8" (22 mm)14304 c 1-3/4" (44 mm) 1" (25 mm)14305 c 1-3/4" (44 mm) 1-1/8" (29 mm)14306 c 1-3/4" (44 mm) 1-1/4" (32 mm)14307 c 2-1/4" (57 mm) 1-3/8" (35 mm)14308 c 2-1/4" (57 mm) 1-1/2" (38 mm)14309 c 2-1/4" (57 mm) 1-3/4" (44 mm)
1640x (PRE-SIZED) Box of 5� FlexWear (standard wear) Skin Barrier � Without Tape Border
HCPCS: A4414Stock No Flange Size Barrier Opening
16401 c 1-3/4" (44 mm) 5/8" (16 mm)16402 c 1-3/4" (44 mm) 3/4" (19 mm)16403 c 1-3/4" (44 mm) 7/8" (22 mm)16404 c 1-3/4" (44 mm) 1" (25 mm)16405 c 1-3/4" (44 mm) 1-1/8" (29 mm)16406 c 1-3/4" (44 mm) 1-1/4" (32 mm)16407 c 2-1/4" (57 mm) 1-3/8" (35 mm)16408 c 2-1/4" (57 mm) 1-1/2" (38 mm)
27w w w . h o l l i s t e r . c o m H o l l i s t e r I n c o r p o r a t e d
Flat Skin Barriers with Integrated Floating Flanges (continued)
1410x (SHAPE-TO-FIT) Box of 5� FormaFlex (extended wear) Skin Barrier � With Tape Border
HCPCS: A4409Stock No Flange Size Barrier Opening
14102 c 1-3/4” (44 mm) Up to 1-1/4” (32 mm)14103 c 2-1/4” (57 mm) Up to 1-11/16” (43 mm) 14104 c 2-3/4” (70 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.
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New Image Two-Piece Pouching System
Convex Skin Barriers with Integrated Floating Flanges
1480x (CUT-TO-FIT) Box of 5� Flextend (extended wear) Skin Barrier � With Tape Border
HCPCS: A4407Stock No Flange Size Barrier Opening
14802 c 1-3/4" (44 mm) up to 1" (25 mm)14803 c 2-1/4" (57 mm) up to 1-1/2" (38 mm)14804 c 2-3/4" (70 mm) up to 2" (51 mm)
1580x (CUT-TO-FIT) Box of 5� Flextend (extended wear) Skin Barrier � Without Tape Border
HCPCS for 15802 & 15803: A4407 HCPCS for 15804: A4408
Stock No Flange Size Barrier Opening
15802 c 1-3/4" (44 mm) up to 1" (25 mm)15803 c 2-1/4" (57 mm) up to 1-1/2" (38 mm)15804 c 2-3/4" (70 mm) up to 2" (51 mm)
1440x (CUT-TO-FIT) Box of 5� FlexWear (standard wear) Skin Barrier � With Tape Border
HCPCS: A4373Stock No Flange Size Barrier Opening
14402 c 1-3/4" (44 mm) up to 1" (25 mm)14403 c 2-1/4" (57 mm) up to 1-1/2" (38 mm)14404 c 2-3/4" (70 mm) up to 2" (51 mm)
1540x (CUT-TO-FIT) Box of 5� FlexWear (standard wear) Skin Barrier � Without Tape Border
HCPCS: A4373Stock No Flange Size Barrier Opening
15402 c 1-3/4" (44 mm) up to 1" (25 mm)15403 c 2-1/4" (57 mm) up to 1-1/2" (38 mm)15404 c 2-3/4" (70 mm) up to 2" (51 mm)
convex producT
Hollister Skin Barrier Packaging
• Individually packaged• Product name, stock number, and color coding
clearly indicated• Discreet• Easy-to-open• Less shelf space required
Did you know…
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Convex Skin Barriers with Integrated Floating Flanges (continued)
149xx (PRE-SIZED) Box of 5� Flextend (extended wear) Skin Barrier � With Tape Border
HCPCS: A4407Stock No Flange Size Barrier Opening
14901 c 1-3/4" (44 mm) 5/8" (16 mm)14902 c 1-3/4" (44 mm) 3/4" (19 mm)14903 c 1-3/4" (44 mm) 7/8" (22 mm)14904 c 1-3/4" (44 mm) 1" (25 mm)14905 c 2-1/4" (57 mm) 1-1/8" (29 mm)14906 c 2-1/4" (57 mm) 1-1/4" (32 mm) 14907 c 2-1/4" (57 mm) 1-3/8" (35 mm)14908 c 2-1/4" (57 mm) 1-1/2" (38 mm)14909 c 2-3/4" (70 mm) 1-5/8" (41 mm)14910 c 2-3/4" (70 mm) 1-3/4" (44 mm)14911 c 2-3/4" (70 mm) 2" (51 mm)
1590x (PRE-SIZED) Box of 5� Flextend (extended wear) Skin Barrier � Without Tape Border
HCPCS: A4407Stock No Flange Size Barrier Opening
15903 c 1-3/4" (44 mm) 7/8" (22 mm)15904 c 1-3/4" (44 mm) 1" (25 mm)15905 c 2-1/4" (57 mm) 1-1/8" (29 mm)15906 c 2-1/4" (57 mm) 1-1/4" (32 mm)
1450x (PRE-SIZED) Box of 5� FlexWear (standard wear) Skin Barrier � With Tape Border
HCPCS: A4373Stock No Flange Size Barrier Opening
14503 c 1-3/4" (44 mm) 7/8" (22 mm)14504 c 1-3/4" (44 mm) 1" (25 mm)14505 c 2-1/4" (57 mm) 1-1/8" (29 mm)14506 c 2-1/4" (57 mm) 1-1/4" (32 mm)
1550x (PRE-SIZED) Box of 5� FlexWear (standard wear) Skin Barrier � Without Tape Border
HCPCS: A4373Stock No Flange Size Barrier Opening
15503 c 1-3/4" (44 mm) 7/8" (22 mm)15504 c 1-3/4" (44 mm) 1" (25 mm)15505 c 2-1/4" (57 mm) 1-1/8" (29 mm)15506 c 2-1/4" (57 mm) 1-1/4" (32 mm)
convex producT
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New Image Two-Piece Pouching System
Drainable Pouches
1818x/1819x Box of 10� 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
HCPCS: A4425Transparent Beige Flange PouchStock No Stock No Size Length
18192 18182 c 1-3/4" (44 mm) 12" (30 cm)18193 18183 c 2-1/4" (57 mm) 12" (30 cm)18194 18184 c 2-3/4" (70 mm) 12" (30 cm)
1828x/1829x Box of 20� 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
HCPCS: A4425Transparent Beige Flange PouchStock No Stock No Size Length
18292 18282 c 1-3/4" (44 mm) 7" (18 cm)18293 18283 c 2-1/4" (57 mm) 7" (18 cm)18294 18284 c 2-3/4" (70 mm) 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: A5063Transparent Beige Ultra-Clear Flange Pouch Stock No Stock No Stock No Size Length
18132 18112 18002 c 1-3/4" (44 mm) 12" (30 cm) 18133 18113 18003 c 2-1/4" (57 mm) 12" (30 cm) 18134 18114 18004 c 2-3/4" (70 mm) 12" (30 cm) — — 18006 c 4" (102 mm) 12" (30 cm)
Instructions for Use
Improved product instructions include large images that show step-by-step application.
Did you know…
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Drainable Pouches (continued)
1814x/1816x Box of 10� 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
HCPCS: A4425Transparent Beige Flange PouchStock No Stock No Size Length
18162 18142 c 1-3/4" (44 mm) 12" (30 cm)18163 18143 c 2-1/4" (57 mm) 12" (30 cm)18164 18144 c 2-3/4" (70 mm) 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: A5063Transparent Beige Ultra-Clear Flange PouchStock No Stock No Stock No Size Length
18102 18122 18172 c 1-3/4" (44 mm) 12" (30 cm) 18103 18123 18173 c 2-1/4" (57 mm) 12" (30 cm) 18104 18124 18174 c 2-3/4" (70 mm) 12" (30 cm) — — 18176 c 4" (102 mm) 12" (30 cm)
1820x Box of 10� Drainable Mini-Pouch � Without Integrated Filter � Clamp Closure � Odor-Barrier Rustle-Free Film � With Belt Tabs � With ComfortWear Panels — Both Sides
HCPCS: A5063Beige Flange PouchStock No Size Length
18202 c 1-3/4" (44 mm) 9" (23 cm) 18203 c 2-1/4" (57 mm) 9" (23 cm)18204 c 2-3/4" (70 mm) 9" (23 cm)
• 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
Did you know…
H o l l i s t e r I n c o r p o r a t e d 1 . 8 8 8 . 7 4 0 . 8 9 9 932
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: A4412Ultra-Clear Flange PouchStock No Size Length
18012 c 1-3/4" (44 mm) 12" (30 cm) 18013 c 2-1/4" (57 mm) 12" (30 cm) 18014 c 2-3/4" (70 mm) 12" (30 cm)18016 c 4" (102 mm) 12" (30 cm)
Closed Pouches
1836x/1837x Box of 60� Closed Pouch � With Integrated AF300 Filter � Odor-Barrier Rustle-Free Film � With Belt Tabs � With ComfortWear Panels - Transparent — Body Side Only - Beige — Both Sides
HCPCS: A4419Transparent Beige Flange PouchStock No Stock No Size Length
18362 18372 c 1-3/4" (44 mm) 9" (23 cm) 18363 18373 c 2-1/4" (57 mm) 9" (23 cm)18364 18374 c 2-3/4" (70 mm) 9" (23 cm)
1832x Box of 30� Closed Pouch � With Integrated AF300 Filter � With Belt Tabs � With QuietWear Pouch Material HCPCS: A4419
Beige Flange PouchStock No Size Length
18322 c 1-3/4" (44 mm) 9" (23 cm) 18323 c 2-1/4" (57 mm) 9" (23 cm) 18324 c 2-3/4" (70 mm) 9" (23 cm)
1838x/1839x Box of 60� Closed Mini-Pouch � With Integrated AF300 Filter � With Belt Tabs � With ComfortWear Panels - Transparent — Body Side Only - Beige — Both Sides
HCPCS: A4419Transparent Beige Flange PouchStock No Stock No Size Length
18382 18392 c 1-3/4" (44 mm) 7" (18 cm) 18383 18393 c 2-1/4" (57 mm) 7" (18 cm)18384 18394 c 2-3/4" (70 mm) 7" (18 cm)
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Closed Pouches (continued)
1833x Box of 301873x Box of 60� Closed Pouch � Without Integrated Filter � With Belt Tabs � With QuietWear Pouch Material HCPCS: A5054
Stock No Stock No Flange PouchBox of 30 Box of 60 Size Length
18332 18732 c 1-3/4" (44 mm) 9" (23 cm) 18333 18733 c 2-1/4" (57 mm) 9" (23 cm) 18334 18734 c 2-3/4" (70 mm) 9" (23 cm)
1835x Box of 30 1875x Box of 60� Closed Mini-Pouch � Without Integrated Filter � Odor-Barrier Rustle-Free Film � With Belt Tabs � With ComfortWear Panels — Both Sides
HCPCS: A5054Stock No Stock No Flange PouchBox of 30 Box of 60 Size Length
18352 18752 c 1-3/4" (44 mm) 7" (18 cm) 18353 18753 c 2-1/4" (57 mm) 7" (18 cm)18354 18754 c 2-3/4" (70 mm) 7" (18 cm)
Irrigator Sleeve
1815x Box of 5� Drainable Irrigator Sleeve � Odor-Barrier Film � With Belt Tabs � Includes Clamp
HCPCS: A4397Transparent Flange PouchStock No Size Length
18152 c 1-3/4” (44 mm) 30” (76 cm) 18153 c 2-1/4” (57 mm) 30” (76 cm)18154 c 2-3/4” (70 mm) 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: A4432Transparent Beige Ultra-Clear Flange PouchStock No Stock No Stock No Size Length
18402 18412 18422 c 1-3/4" (44 mm) 9" (23 cm) 18403 18413 18423 c 2-1/4" (57 mm) 9" (23 cm)18404 18414 18424 c 2-3/4" (70 mm) 9" (23 cm)
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New Image Two-Piece Pouching System
Non Sterile Kits — Drainable
1900x Box of 5Colostomy/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 Flange BarrierStock No Size Opening
19002 c 1-3/4" (44 mm) up to 1-1/4" (32 mm) 19003 c 2-1/4" (57 mm) up to 1-3/4" (44 mm) 19004 c 2-3/4" (70 mm) up to 2-1/4" (57 mm)19006 c 4" (102 mm) up to 3-1/2" (89 mm)
1910x Box of 5Colostomy/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 Flange BarrierStock No Size Opening
19102 c 1-3/4" (44 mm) up to 1-1/4" (32 mm) 19103 c 2-1/4" (57 mm) up to 1-3/4" (44 mm) 19104 c 2-3/4" (70 mm) up to 2-1/4" (57 mm)19106 c 4" (102 mm) up to 3-1/2" (89 mm)
Non Sterile Kits — Urostomy
1920x Box of 5Urostomy Kit includes: � (1) 1460x (Flextend) with Tape Border � (1) 1842x (Ultra-Clear Pouch Film) � (1) 7331 � Single-Use Package
HCPCS: A4432 + A4409Ultra-Clear Flange BarrierStock No Size Opening
19202 c 1-3/4" (44 mm) up to 1-1/4" (32 mm) 19203 c 2-1/4" (57 mm) up to 1-3/4" (44 mm)19204 c 2-3/4" (70 mm) up to 2-1/4" (57 mm)
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Sterile Kits — Drainable
1905x Box of 5Colostomy/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 Flange BarrierStock No Size Opening
19052 c 1-3/4" (44 mm) up to 1-1/4" (32 mm) 19053 c 2-1/4" (57 mm) up to 1-3/4" (44 mm) 19054 c 2-3/4" (70 mm) up to 2-1/4" (57 mm)19056 c 4" (102 mm) up to 3-1/2" (89 mm)
1915x Box of 5Colostomy/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 Flange BarrierStock No Size Opening
19152 c 1-3/4" (44 mm) up to 1-1/4" (32 mm) 19153 c 2-1/4" (57 mm) up to 1-3/4" (44 mm) 19154 c 2-3/4" (70 mm) up to 2-1/4" (57 mm)19156 c 4" (102 mm) up to 3-1/2" (89 mm)
Sterile Kits — Urostomy
1925x Box of 5Urostomy Kit includes: � (1) 1460x (Flextend) with Tape Border � (1) 1842x (Ultra-Clear Pouch Film) � (1) 7331 � Single-Use Package
HCPCS: A4432 + A4409Ultra-Clear Flange BarrierStock No Size Opening
19252 c 1-3/4" (44 mm) up to 1-1/4" (32 mm)19253 c 2-1/4" (57 mm) up to 1-3/4" (44 mm)19254 c 2-3/4" (70 mm) up to 2-1/4" (57 mm)
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Pouching System
Premier
One-Piece Pouching System
www.hollister.comHollister Ostomy. Details Matter.
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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: A5056Transparent Stock No Barrier Opening Pouch Length
8331 up to 2-1/2" (64 mm) 12" (30 cm)
8531/8551 (CUT-TO-FIT) Box of 10� 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
HCPCS: A4388Ultra-Clear BeigeStock No Stock No Barrier Opening Pouch Length
8531 8551 up to 2-1/2" (64 mm) 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: A4388Transparent Ultra-ClearStock No Stock No Barrier Opening Pouch Length
8631 8651 up to 2-1/2" (64 mm) 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: A4388Transparent Stock No Barrier Opening Pouch Length
8641 up to 2-1/2" (64 mm) 9" (23 cm)
Premier One-Piece Pouching SystemPremier One-Piece Pouching System
H o l l i s t e r I n c o r p o r a t e d 1 . 8 8 8 . 7 4 0 . 8 9 9 942
Premier One-Piece Pouching System
Drainable Pouches with Flat Barriers (continued)
8081/8181 (CUT-TO-FIT) Box of 10� 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
HCPCS: A4424Transparent BeigeStock No Stock No Barrier Opening Pouch Length
8081 8181 up to 2-1/2" (64 mm) 12" (30 cm)
8031 (CUT-TO-FIT) Box of 10� 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
HCPCS: A5061 Ultra-Clear Stock No Barrier Opening Pouch Length
8031 up to 2-1/2" (64 mm) 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 Pouch Length
8131 up to 2-1/2" (64 mm) 12" (30 cm)
88300/88400 (CUT-TO-FIT) Box of 10� 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
HCPCS: A4424Transparent BeigeStock No Stock No Barrier Opening Pouch Length
88400 88300 up to 2-1/8" (55 mm) 12" (30 cm)
43w w w . h o l l i s t e r . c o m H o l l i s t e r I n c o r p o r a t e d
Drainable Pouches with Flat Barriers (continued)
88800/88700 (CUT-TO-FIT) Box of 20� 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
HCPCS: A4424Transparent BeigeStock No Stock No Barrier Opening Pouch Length
88800 88700 up to 2-1/8" (55 mm) 7" (18 cm)
88302/88402 (OVAL CUT-TO-FIT) Box of 10� 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
HCPCS: A4424Transparent BeigeStock No Stock No Barrier Opening Pouch Length
88402 88302 3 x 2.5" (75 mm x 65 mm) 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: A5061Ultra-Clear Stock No Barrier Opening Pouch Length
88401 up to 2-1/2" (64 mm) 12" (30 cm)
• 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
Did you know…
H o l l i s t e r I n c o r p o r a t e d 1 . 8 8 8 . 7 4 0 . 8 9 9 944
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: A5061Ultra-Clear Stock No Barrier Opening Pouch Length
88501 up to 2-1/2" (64 mm) 12" (30 cm)
853x/855x (PRE-SIZED) Box of 10� 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
HCPCS: A4388Transparent Beige Stock No Stock No Barrier Opening Pouch Length
8532 8552 1" (25 mm) 12" (30 cm) 8538 8558 1-1/4" (32 mm) 12" (30 cm) 8533 8553 1-1/2" (38 mm) 12" (30 cm)8539 8559 1-3/4" (44 mm) 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: A4388TransparentStock No Barrier Opening Pouch Length
8637 3/4" (19 mm) 12" (30 cm) 8632 1" (25 mm) 12" (30 cm) 8638 1-1/4" (32 mm) 12" (30 cm) 8633 1-1/2" (38 mm) 12" (30 cm) 8639 1-3/4" (44 mm) 12" (30 cm) 8634 2" (51 mm) 12" (30 cm)8635 2-1/2" (64 mm) 12" (30 cm)
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Drainable Pouches with Flat Barriers (continued)
864x (PRE-SIZED) 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 Panels — Both Sides
HCPCS: A4388BeigeStock No Barrier Opening Pouch Length
8647 3/4" (19 mm) 9" (23 cm) 8642 1" (25 mm) 9" (23 cm) 8648 1-1/4" (32 mm) 9" (23 cm) 8643 1-1/2" (38 mm) 9" (23 cm) 8649 1-3/4" (44 mm) 9" (23 cm)8644 2" (51 mm) 9" (23 cm)
80xx/81xx (PRE-SIZED) Box of 10� 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
HCPCS: A4424Transparent BeigeStock No Stock No Barrier Opening Pouch Length
8025 8125 1" (25 mm) 12" (30 cm) 8030 8130 1-3/16" (30 mm) 12" (30 cm) 8035 8135 1-3/8" (35 mm) 12" (30 cm)8040 8140 1-9/16" (40 mm) 12" (30 cm)
883xx/884xx (PRE-SIZED) Box of 10� 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
HCPCS: A4424Transparent BeigeStock No Stock No Barrier Opening Pouch Length
88425 88325 1" (25 mm) 12" (30 cm) 88430 88330 1-3/16" (30 mm) 12" (30 cm) 88435 88335 1-3/8" (35 mm) 12" (30 cm)88440 88340 1-9/16" (40 mm) 12" (30 cm)
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Premier One-Piece Pouching System
Drainable Pouches with Flat Barriers (continued)
887xx (PRE-SIZED) Box of 20� 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
HCPCS: A4424BeigeStock No Barrier Opening Pouch Length
88725 1" (25 mm) 7" (18 cm) 88730 1-3/16" (30 mm) 7" (18 cm) 88735 1-3/8" (35 mm) 7" (18 cm)88740 1-9/16" (40 mm) 7” (18 cm)
Drainable Pouches with Convex Barriers
858x (CUT-TO-FIT) Box of 5� 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
HCPCS Code: A5057
Transparent Stock No Barrier Opening Pouch Length
8584 up to 1" (25 mm) 12" (30 cm)8588 up to 1-1/2" (38 mm) 12" (30 cm)85811 up to 2" (51 mm) 12" (30 cm)
852x/850x (CUT-TO-FIT) Box of 5� 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
HCPCS: A4390Transparent BeigeStock No Stock No Barrier Opening Pouch Length
8524 8504 up to 1" (25 mm) 12" (30 cm) 8528 8508 up to 1-1/2" (38 mm) 12" (30 cm)85211 85011 up to 2" (51 mm) 12" (30 cm)
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Drainable Pouches with Convex Barriers (continued)
862x (CUT-TO-FIT) Box of 5� 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
HCPCS: A4390TransparentStock No Barrier Opening Pouch Length
8624 up to 1" (25 mm) 12" (30 cm) 8628 up to 1-1/2" (38 mm) 12" (30 cm)86211 up to 2" (51 mm) 12" (30 cm)
851x/859x (PRE-SIZED) Box of 5� 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
HCPCS: A4390Transparent BeigeStock No Stock No Barrier Opening Pouch Length
8510 8590 3/4" (19 mm) 12" (30 cm) 8511 8591 7/8" (22 mm) 12" (30 cm) 8512 8592 1" (25 mm) 12" (30 cm) 8513 8593 1-1/8" (29 mm) 12" (30 cm) 8514 8594 1-1/4" (32 mm) 12" (30 cm) 8515 8595 1-3/8" (35 mm) 12" (30 cm)85116 8596 1-1/2" (38 mm) 12" (30 cm) — 8597 1-5/8" (41 mm) 12" (30 cm)85118 — 1-3/4" (44 mm) 12" (30 cm)85119 8599 2" (51 mm) 12" (30 cm)
861x (PRE-SIZED) Box of 5� 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
HCPCS: A4390TransparentStock No Barrier Opening Pouch Length
8610 3/4" (19 mm) 12" (30 cm) 8611 7/8" (22 mm) 12" (30 cm) 8612 1" (25 mm) 12" (30 cm) 8613 1-1/8" (29 mm) 12" (30 cm) 8614 1-1/4" (32 mm) 12" (30 cm) 8615 1-3/8" (35 mm) 12" (30 cm) 8616 1-1/2" (38 mm) 12" (30 cm) 8617 1-5/8" (41 mm) 12" (30 cm) 8618 1-3/4" (44 mm) 12" (30 cm)8619 2" (51 mm) 12" (30 cm)
convex producT
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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: A6154Ultra-ClearStock No Barrier Opening Pouch Length
80070 up to 2-3/4" (70 mm) 12" (30 cm)80110 up to 4-1/3" (110 mm) 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: A6154Ultra-ClearStock No Barrier Opening Pouch Length
81070 up to 2-3/4" (70 mm) 12" (30 cm)81110 up to 4-1/3" (110 mm) 12" (30 cm)
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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: A6154With Barrier: Non Sterile Quantity/Stock No Description Box
9773 Small (for wounds up to 3") 109776 Medium (for wounds up to 3-3/4") 109778 Large (for wounds up to 4" x 8") 3
With Barrier: Sterile Quantity/Stock No Description Box
9701 Small (for wounds up to 3") 59702 Medium (for wounds up to 3-3/4") 59703 Large (for wounds up to 4" x 8") 3
Without Barrier: Sterile Quantity/ Stock No Description Box
9772 Small (for wounds up to 3") 109775 Medium (for wounds up to 3-3/4") 109777 Large (for wounds up to 4" x 8") 3
H o l l i s t e r I n c o r p o r a t e d 1 . 8 8 8 . 7 4 0 . 8 9 9 950
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: A4416Transparent BeigeStock No Stock No Barrier Opening Pouch Length
82400 82300 up to 2-1/8" (55 mm) 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: A4416Transparent BeigeStock No Stock No Barrier Opening Pouch Length
82402 82302 3 x 2.5" (75 mm x 65 mm) 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: A4416Transparent BeigeStock No Stock No Barrier Opening Pouch Length
82500 82100 up to 2-1/8" (55 mm) 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: A4416BeigeStock No Barrier Opening Pouch Length
82325 1" (25 mm) 9" (23 cm) 82330 1-3/16" (30 mm) 9" (23 cm)82335 1-3/8" (35 mm) 9" (23 cm)
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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: A4416BeigeStock No Barrier Opening Pouch Length
82125 1" (25 mm) 7" (18 cm) 82130 1-3/16" (30 mm) 7" (18 cm)82135 1-3/8" (35 mm) 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: A5055BeigeStock No Barrier Opening Size
1796 1-15/16" (50 mm) 4" (102 mm)
Urostomy Pouches with Flat Barriers
8450/8460/8440 (CUT-TO-FIT) Box of 10� 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
HCPCS: A4428Transparent Ultra-Clear BeigeStock No Stock No Stock No Barrier Opening Pouch Length
8460 8450 8440 up to 2-1/2" (64 mm) 9" (23 cm)
846x/844x (PRE-SIZED) Box of 10� 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
HCPCS: A4428Transparent BeigeStock No Stock No Barrier Opening Pouch Length
8467 8447 3/4" (19 mm) 9" (23 cm) 8462 8442 1" (25 mm) 9" (23 cm) 8468 8448 1-1/4" (32 mm) 9" (23 cm) 8463 8443 1-1/2" (38 mm) 9" (23 cm) 8469 8449 1-3/4" (44 mm) 9" (23 cm)8464 8444 2" (51 mm) 9" (23 cm)
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Premier One-Piece Pouching System
Urostomy Pouches with Convex Barriers
847x/843x (CUT-TO-FIT) Box of 5� 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
HCPCS: A4430Transparent BeigeStock No Stock No Barrier Opening Pouch Length
8474 8434 up to 1" (25 mm) 9" (23 cm) 8478 8438 up to 1-1/2" (38 mm) 9" (23 cm)84711 84311 up to 2" (51 mm) 9" (23 cm)
848x/849x (PRE-SIZED) Box of 5� 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
HCPCS: A4430Transparent BeigeStock No Stock No Barrier Opening Pouch Length
8480 8490 1/2" (13 mm) 9" (23 cm) 8481 8491 5/8" (16 mm) 9" (23 cm) 8482 8492 3/4" (19 mm) 9" (23 cm) 8483 8493 7/8" (22 mm) 9" (23 cm) 8484 8494 1" (25 mm) 9" (23 cm) 8485 8495 1-1/8" (29 mm) 9" (23 cm) 8486 8496 1-1/4" (32 mm) 9" (23 cm) 8487 8497 1-3/8" (35 mm) 9" (23 cm) 8488 8498 1-1/2" (38 mm) 9" (23 cm)8489 8499 1-3/4" (44 mm) 9" (23 cm)
Non Sterile Kits — Drainable
89001 (CUT-TO-FIT) Box of 5 KitsColostomy/Ileostomy Kit Includes: � (1) 88401 SoftFlex (standard wear) Skin Barrier � Without Tape Border � Without Integrated Filter � Lock ’n Roll Closure � Single-Use Package
HCPCS: A5061Ultra-ClearStock No Barrier Opening Pouch Length
89001 up to 2-1/2" (64 mm) 12" (30 cm)
convex producT
53w w w . h o l l i s t e r . c o m H o l l i s t e r I n c o r p o r a t e d
Non Sterile Kits — Drainable (continued)
89002 (CUT-TO-FIT) Box of 5 KitsColostomy/Ileostomy Kit Includes: � (1) 88501 SoftFlex (standard wear) Skin Barrier � Without Tape Border � Without Integrated Filter � Clamp Closure � Single-Use Package
HCPCS: A5061Ultra-ClearStock No Barrier Opening Pouch Length
89002 up to 2-1/2" (64 mm) 12" (30 cm)
89003 (CUT-TO-FIT) Box of 5 KitsColostomy/Ileostomy Kit Includes: � (1) 8651 Flextend (extended wear) Skin Barrier � With Tape Border � Without Integrated Filter � Clamp Closure � Single-Use Package
HCPCS: A4388Ultra-ClearStock No Barrier Opening Pouch Length
89003 up to 2-1/2" (64 mm) 12" (30 cm)
89004 (CUT-TO-FIT) Box of 5 KitsColostomy/Ileostomy Kit Includes: � (1) 8531 Flextend (extended wear) Skin Barrier � With Tape Border � Without Integrated Filter � Lock ’n Roll Closure � Single-Use Package
HCPCS: A4388Ultra-Clear Stock No Barrier Opening Pouch Length
89004 up to 2-1/2" (64 mm) 12" (30 cm)
Non Sterile Kits — Urostomy
89005 (CUT-TO-FIT) Box of 5 KitsUrostomy Kit Includes: � (1) 8450 Flextend (extended wear) Skin Barrier � With Tape Border � (1) 7331 � Single-Use Package
HCPCS: A4428Ultra-Clear Stock No Barrier Opening Pouch Length
89005 up to 2-1/2" (64 mm) 9" (23 cm)
Pouchkins Pediatric
Pouching System
Pouchkins Pediatric
Pouching System
www.hollister.comHollister Ostomy. Details Matter.
PouchkinsPediatric Pouching System
59w w w . h o l l i s t e r . c o m H o l l i s t e r I n c o r p o r a t e d
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 + A4362Ultra-ClearStock No Barrier Opening Pouch Length
3777 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 + A4362Ultra-Clear Stock No Barrier Opening Pouch Length
3778 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: A5061TransparentStock No Barrier Opening Pouch Length
3796 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: A4424Transparent Stock No Barrier Opening Pouch Length
3795 up to 2" (51 mm) 7" (18 cm)
Pouchkins Pediatric Pouching SystemPouchkins Pediatric Pouching System
H o l l i s t e r I n c o r p o r a t e d 1 . 8 8 8 . 7 4 0 . 8 9 9 960
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: A5071TransparentStock No Barrier Opening Pouch Length
3797 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: A4414Transparent Stock No Flange Size Barrier Opening
3761 c 1-3/4" (44 mm) 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: A5063Transparent Stock No Flange Size Pouch Length
3799 c 1-3/4" (44 mm) 6-1/2" (16 cm)
18292/18282 Box of 20� 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
HCPCS: A4425Transparent Beige Flange PouchStock No Stock No Size Length
18292 18282 c 1-3/4" (44 mm) 7" (18 cm)
61w w w . h o l l i s t e r . c o m H o l l i s t e r I n c o r p o r a t e d
Two-Piece Pouches (continued)
18382/18392 Box of 60� 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
HCPCS: A4419Transparent Beige Flange PouchStock No Stock No Size Length
18382 18392 c 1-3/4" (44 mm) 7" (18 cm)
18402/18412 Box of 10� Urostomy Pouch � Odor-Barrier Rustle-Free Film � With Belt Tabs � With ComfortWear Panels - Transparent — Body Side Only - Beige — Both Sides
HCPCS: A4432Transparent Beige Flange PouchStock No Stock No Size Length
18402 18412 c 1-3/4" (44 mm) 9" (23 cm)
Pediatric Ostomy Belt
3774 Single Unit� Ostomy Belt - White Color
HCPCS: A4367Stock No Length
3774 10"- 17" (25 cm-43 cm)
Pouchkins Product Features:
• SoftFlex Skin Barrier with no starter hole• Integrated Floating Flange• No tape borders• Integrated Lock ’n Roll Closure• ComfortWear Panel
Did you know…
Ostomy
Accessories
OstomyAccessories
www.hollister.comHollister Ostomy. Details Matter.
AdaptOstomy Accessories
67w w w . h o l l i s t e r . c o m H o l l i s t e r I n c o r p o r a t e d
Ostomy Accessories
Adapt Skin Barrier Accessories
780x Box of 10� Adapt Barrier Rings (Flat) � Flextend M (extended wear) Material
HCPCS: A4385Stock No Outer Diameter
7805 2" (48 mm)7806 4" (98 mm)
795xx Box of 10� Adapt Convex Barrier Rings � Flextend (extended wear) Material
HCPCS: A4411Stock No Inner Diameter
79520 13/16" (20 mm) — can be stretched to 1" (25 mm) 79530 1-3/16" (30 mm) — can be stretched to 1-3/8" (35 mm)79540 1-9/16" (40 mm) — can be stretched to 1-3/4" (45 mm)
796xx Box of 10� Adapt Oval Convex Barrier Rings � Flextend (extended wear) Material
HCPCS: A4411Stock No Inner Diameter
79601 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) 79602 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)79603 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 Box of 10� Adapt Barrier Strips � Flextend (extended wear) Material
HCPCS: A4385Stock No Size Length
79400 60 g 5-1/8" (13 cm)
Adapt Skin Barrier Paste
79300/79301� Adapt Paste
HCPCS: A4406Stock No Description Quantity
79300 2 oz (57 g) tube Box of 179301 0.5 oz (14 g) tube Box of 20
Adapt Stoma Powder
7906 Box of 1� Adapt Stoma Powder
HCPCS: A4371Stock No Description
7906 1 oz (28.3 g) puff bottle
Adapt Odor Eliminator and Lubricant
78500/78501� Adapt Lubricating Deodorant
HCPCS Code: A4394Stock No Description Quantity
78500 8 oz (236 mL) bottle Box of 178501 0.27 oz (8 mL) packet 50 Packets/Box
NEW!
Ostomy Accessories
H o l l i s t e r I n c o r p o r a t e d 1 . 8 8 8 . 7 4 0 . 8 9 9 968
Ostomy Accessories
Adapt Ostomy Belts
7300/7299 Box of 10� Ostomy Belts � Beige Color
HCPCS: A4367Stock No Size
7300 23"-43" (58 cm-109 cm) Medium7299 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 4 x 4" (10 cm x 10 cm) Box of 58801 8 x 8" (20 cm x 20 cm) Box of 3
Skin Prepping Product
7917 12 Cartons of� Skin Gel Protective Dressing Wipes 50 Wipes Each
HCPCS: A5120Stock No
7917
Adhesives and Removers
7760 12 Cartons of� Universal Remover Wipes 50 Wipes Each � For Adhesives and Barriers
HCPCS: A4456Stock No
7760
7730 Box of 4� Medical Adhesive � Improves Adhesive Contact Between Skin and Barrier
HCPCS: A4364Stock No Description
7730 3.2 oz (90 g) spray can
7731 Box of 4� Medical Adhesive Remover
HCPCS: A4455Stock No Description
7731 2.7 oz (76 g) spray can
69w w w . h o l l i s t e r . c o m H o l l i s t e r I n c o r p o r a t e d
Odor Eliminators
773x� m9 Odor Eliminator Spray
HCPCS: No CodeStock No (unscented) Description Quantity
7732 2 oz (60 mL) pump spray Box of 127733 8 oz (240 mL) pump spray Box of 6
(Green AppleStock No Scented) Description Quantity
7734 2 oz (60 mL) pump spray Box of 127735 8 oz (240 mL) pump spray Box of 6
771x� m9 Odor Eliminator Drops
HCPCS: A4394Stock No Description Quantity
7715 1 oz (30 mL) bottle Box of 127717 8 oz (240 mL) bottle Box of 6
Cleaner/Decrystallizer
7736 Box of 12� m9 Cleaner/Decrystallizer � Cleans Urinary Drainage Systems � pH Balanced and Non-Acidic � Free Wash Bottle Included
HCPCS: A5131Stock No Description
7736 16 oz (480 mL) bottle
Drainable Pouch Clamp
8770 Box of 20� Drainable Pouch Clamp
HCPCS: A4363Stock No Color
8770 Beige
Urostomy Drain Tube Adapter
7331 Box of 10� Urostomy Drain Tube Adapter
HCPCS: A4421Stock No
7331
Skin Care Products
517210 Box of 12� Restore Skin Cleanser
HCPCS: A9270
Stock No Description
517210 8 oz (237 mL) pump spray
H o l l i s t e r I n c o r p o r a t e d 1 . 8 8 8 . 7 4 0 . 8 9 9 970
Ostomy Accessories
Skin Care Products (continued)
517220 Box of 12� Restore Skin Conditioning Creme
HCPCS: A6250Stock No Description
517220 4 oz (120 mL) bottle
Irrigation Products
7721 Box 1� Cone Irrigator Kit Includes: � (1) Irrigator � (1) Stoma Cone with Connector � (1) Cleaning Brush
HCPCS: A4398 + A4399Stock No
7721
7723 Box of 10� Stoma Cone with Connector � Replacement Unit
HCPCS: A4399Stock No
7723
7740 Box of 10� Adapt Stoma Lubricant � For Stoma Irrigation
HCPCS: A4402Stock No Description
7740 4 oz (120 mL) bottle
7728/7724 Box of 20� Irrigator Sleeve with Belt Tabs � Includes Clamp
HCPCS: A4397Stock No Opening Size Length
7728 2" (51 mm) 22" (56 cm)7724 3" (76 mm) 22" (56 cm)
Loop Ostomy Bridge
7767 Box of 20� Loop Ostomy Bridge — Sterile
HCPCS: A4421Stock No
7767
71w w w . h o l l i s t e r . c o m H o l l i s t e r I n c o r p o r a t e d
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: A4368Stock No
7766
Bedside Drainage Collection System with Anti-Reflux Valve
9839 Box of 20� Sample Port � Sterile Fluid Pathway
HCPCS: A4357Stock No Description
9839 68 oz (2000 mL) Capacity
Skin Barrier Pastes and Powders
7910 Box of 12� Karaya 5 Paste
HCPCS: A4405Stock No Description
7910 4.5 oz (135 mL) tube
7905 Box of 12� Karaya 5 Powder
HCPCS: A4371Stock No Description
7905 2.5 oz (75 mL) puff bottle
Skin Barriers
7800 Box of 5� Premium (standard wear) Skin Barrier
HCPCS: A4362Stock No Size
7800 4 x 4" (10 cm x 10 cm)
7700 Box of 5� HolliHesive (standard wear) Skin Barrier
HCPCS: A4362Stock No Size
7700 4 x 4" (10 cm x 10 cm)
H o l l i s t e r I n c o r p o r a t e d 1 . 8 8 8 . 7 4 0 . 8 9 9 972
Letter Matching SystemTo 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: A4409Stock No Letter Match Flange Size Barrier Opening
8727 H 1-1/2" (38 mm) up to 1" (25 mm) 8722 I 1-3/4" (44 mm) up to 1-1/4" (32 mm) 8723 J 2-1/4" (57 mm) up to 1-3/4" (44 mm) 8724 K 2-3/4" (70 mm) up to 2-1/4" (57 mm)
875x (CUT-TO-FIT) Box of 5� Flextend (extended wear) Skin Barrier, Flat,
Without Tape Border
HCPCS FOR 8752, 8753 & 8757: A4409 HCPCS FOR 8754: A4410
Stock No Letter Match Flange Size Barrier Opening
8752 I 1-3/4" (44 mm) up to 1-1/4" (32 mm) 8753 J 2-1/4" (57 mm) up to 1-3/4" (44 mm)8754 K 2-3/4" (70 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 Letter Match Flange Size Barrier Opening
3727 H 1-1/2" (38 mm) up to 1" (25 mm) 3722 I 1-3/4" (44 mm) up to 1-1/4" (32 mm) 3723 J 2-1/4" (57 mm) up to 1-3/4" (44 mm) 3724 K 2-3/4" (70 mm) up to 2-1/4" (57 mm)3726 L 4" (102 mm) up to 3-1/2" (89 mm)
376x (CUT-TO-FIT) Box of 5� SoftFlex (standard wear) Skin Barrier, Flat,
Without Tape Border
HCPCS FOR 3762, 3763 & 3767: A4414 HCPCS FOR 3764 & 3766: A4415
Stock No Letter Match Flange Size Barrier Opening
3767 H 1-1/2" (38 mm) up to 1" (25 mm) 3762 I 1-3/4" (44 mm) up to 1-1/4" (32 mm) 3763 J 2-1/4" (57 mm) up to 1-3/4" (44 mm) 3764 K 2-3/4" (70 mm) up to 2-1/4" (57 mm)3766 L 4" (102 mm) up to 3-1/2" (89 mm)
CenterPointLock Two-Piece Pouching System
73w w w . h o l l i s t e r . c o m H o l l i s t e r I n c o r p o r a t e d
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 Letter Match Flange Size Barrier Opening
3707 H 1-1/2" (38 mm) up to 3/4" (19 mm) 3702 I 1-3/4" (44 mm) up to 1" (25 mm) 3703 J 2-1/4" (57 mm) up to 1-1/2" (38 mm) 3704 K 2-3/4" (70 mm) up to 2" (51 mm)3706 L 4" (102 mm) up to 3-1/4" (82 mm)
874x (PRE-SIZED) Box of 5� Flextend (extended wear) Skin Barrier, Flat, Tape Border
HCPCS: A4409Stock No Letter Match Flange Size Barrier Opening
8743 H 1-1/2" (38 mm) 7/8" (22 mm) 8744 H 1-1/2" (38 mm) 1" (25 mm) 8745 I 1-3/4" (44 mm) 1-1/8" (29 mm) 8746 I 1-3/4" (44 mm) 1-1/4" (32 mm) 8747 J 2-1/4" (57 mm) 1-3/8" (35 mm)8748 J 2-1/4" (57 mm) 1-1/2" (38 mm)
374x (PRE-SIZED) Box of 5� FlexWear (standard wear) Skin Barrier, Flat, Tape Border
HCPCS: A4414Stock No Letter Match Flange Size Barrier Opening
3747 H 1-1/2" (38 mm) 3/4" (19 mm) 3742 H 1-1/2" (38 mm) 1" (25 mm) 3748 I 1-3/4" (44 mm) 1-1/4" (32 mm) 3743 J 2-1/4" (57 mm) 1-1/2" (38 mm)3749 J 2-1/4" (57 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: A4407Stock No Letter Match Flange Size Barrier Opening
8774 I 1-3/4" (44 mm) up to 1" (25 mm) 8778 J 2-1/4" (57 mm) up to 1-1/2" (38 mm)87711 K 2-3/4" (70 mm) up to 2" (51 mm)
873x (PRE-SIZED) Box of 5� Flextend (extended wear) Skin Barrier, Convex, Tape Border
HCPCS: A4407Stock No Letter Match Flange Size Barrier Opening
8731 H 1-1/2" (38 mm) 5/8" (16 mm) 8732 H 1-1/2" (38 mm) 3/4" (19 mm) 8733 I 1-3/4" (44 mm) 7/8" (22 mm) 8734 I 1-3/4" (44 mm) 1" (25 mm) 8735 J 2-1/4" (57 mm) 1-1/8" (29 mm) 8736 J 2-1/4" (57 mm) 1-1/4" (32 mm) 8737 J 2-1/4" (57 mm) 1-3/8" (35 mm)8738 J 2-1/4" (57 mm) 1-1/2" (38 mm)
convex product
H o l l i s t e r I n c o r p o r a t e d 1 . 8 8 8 . 7 4 0 . 8 9 9 974
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: A4373Stock No Letter Match Flange Size Barrier Opening
3730 H 1-1/2" (38 mm) 1/2" (13 mm) 3731 H 1-1/2" (38 mm) 5/8" (16 mm) 3732 H 1-1/2" (38 mm) 3/4" (19 mm) 3733 I 1-3/4" (44 mm) 7/8" (22 mm) 3734 I 1-3/4" (44 mm) 1" (25 mm) 3735 J 2-1/4" (57 mm) 1-1/8" (29 mm) 3736 J 2-1/4" (57 mm) 1-1/4" (32 mm) 3737 J 2-1/4" (57 mm) 1-3/8" (35 mm) 3738 J 2-1/4" (57 mm) 1-1/2" (38 mm) 3739 K 2-3/4" (70 mm) 1-5/8" (41 mm) 37310 K 2-3/4" (70 mm) 1-3/4" (44 mm)37311 K 2-3/4" (70 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 + A4368Transparent Beige Letter Flange PouchStock No Stock No Match Size Length
3897 3837 H 1-1/2" (38 mm) 12" (30 cm) 3892 3832 I 1-3/4" (44 mm) 12" (30 cm) 3893 3833 J 2-1/4" (57 mm) 12" (30 cm)3894 3834 K 2-3/4" (70 mm) 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: A5063Beige Letter Flange PouchStock No Match Size Length
8817 H 1-1/2" (38 mm) 12" (30 cm) 8812 I 1-3/4" (44 mm) 12" (30 cm) 8813 J 2-1/4" (57 mm) 12" (30 cm)8814 K 2-3/4" (70 mm) 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: A5063Transparent Beige Letter Flange PouchStock No Stock No Match Size Length
3807 3817 H 1-1/2" (38 mm) 11" (28 cm) 3802 3812 I 1-3/4" (44 mm) 11" (28 cm) 3803 3813 J 2-1/4" (57 mm) 11" (28 cm) 3804 3814 K 2-3/4" (70 mm) 11" (28 cm)3806 — L 4" (102 mm) 11" (28 cm)
convex producT
75w w w . h o l l i s t e r . c o m H o l l i s t e r I n c o r p o r a t e d
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: A4412Transparent Letter Flange PouchStock No Match Size Length
3872 I 1-3/4" (44 mm) 16" (40 cm) 3873 J 2-1/4" (57 mm) 16" (40 cm)3874 K 2-3/4" (70 mm) 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: A5063Beige Letter Flange PouchStock No Match Size Length
3847 H 1-1/2" (38 mm) 9" (23 cm) 3842 I 1-3/4" (44 mm) 9" (23 cm) 3843 J 2-1/4" (57 mm) 9" (23 cm)3844 K 2-3/4" (70 mm) 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: A4419Beige Letter Flange PouchStock No Match Size Length
8347 H 1-1/2" (38 mm) 7-1/2" (19 cm) 8342 I 1-3/4" (44 mm) 7-1/2" (19 cm) 8343 J 2-1/4" (57 mm) 7-1/2" (19 cm)8344 K 2-3/4" (70 mm) 7-1/2" (19 cm)
334x Box of 15� Closed Pouch, Integrated Filter, Odor-Barrier
Rustle-Free Film, Belt Tabs, Without ComfortWear Panels
HCPCS: A4419Beige Letter Flange PouchStock No Match Size Length
3347 H 1-1/2" (38 mm) 9" (23 cm) 3342 I 1-3/4" (44 mm) 9" (23 cm) 3343 J 2-1/4" (57 mm) 9" (23 cm)3344 K 2-3/4" (70 mm) 9" (23 cm)
Urostomy Pouches
890x Box of 10� Urostomy Pouch, Odor-Barrier Rustle-Free
Film, Belt Tabs, ComfortWear Panels — Both Sides
HCPCS: A4432Beige Letter Flange PouchStock No Match Size Length
8902 I 1-3/4" (44 mm) 9" (23 cm)8903 J 2-1/4" (57 mm) 9" (23 cm)
H o l l i s t e r I n c o r p o r a t e d 1 . 8 8 8 . 7 4 0 . 8 9 9 976
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: A4432Transparent Letter Flange PouchStock No Match Size Length
3907 H 1-1/2" (38 mm) 9" (23 cm) 3902 I 1-3/4" (44 mm) 9" (23 cm) 3903 J 2-1/4" (57 mm) 9" (23 cm)3904 K 2-3/4" (70 mm) 9" (23 cm)
Stoma Cap
340x Box of 25� Stoma Cap, Integrated Filter, Odor-Barrier
Rustle-Free Film Without ComfortWear Panels
HCPCS: A5055Beige Letter Flange PouchStock No Match Size Length
3407 H 1-1/2" (38 mm) 4-1/2" (11 cm) 3402 I 1-3/4" (44 mm) 4-1/2" (11 cm) 3403 J 2-1/4" (57 mm) 4-1/2" (11 cm)3404 K 2-3/4" (70 mm) 4-1/2" (11 cm)
Irrigator Sleeve
382x Box of 5� Irrigator Sleeve, Belt Tabs � Includes clamp
HCPCS: A4397Transparent Letter Flange PouchStock No Match Size Length
3827 H 1-1/2" (38 mm) 30" (76 cm) 3822 I 1-3/4" (44 mm) 30" (76 cm) 3823 J 2-1/4" (57 mm) 30" (76 cm) 3824 K 2-3/4" (70 mm) 30" (76 cm)3826 L 4" (102 mm) 30" (76 cm)
77w w w . h o l l i s t e r . c o m H o l l i s t e r I n c o r p o r a t e d
convex producT
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 + A4368Transparent Pouch Barrier PouchStock No Size Opening Length
3662 1" (25 mm) 5/8" (16 mm) 12" (30 cm) 3668 1-1/4" (32 mm) 7/8" (22 mm) 12" (30 cm) 3663 1-1/2" (38 mm) 1-1/8" (29 mm) 12" (30 cm) 3669 1-3/4" (44 mm) 1-3/8" (35 mm) 12" (30 cm) 3664 2" (51 mm) 1-1/2" (38 mm) 12" (30 cm)3665 2-1/2" (64 mm) 2" (51 mm) 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: A4389Transparent Pouch Barrier PouchStock No Size Opening Length
3608 1-1/4" (32 mm) 7/8" (22 mm) 12" (30 cm) 3603 1-1/2" (38 mm) 1-1/8" (29 mm) 12" (30 cm) 3609 1-3/4" (44 mm) 1-3/8" (35 mm) 12" (30 cm) 3604 2" (51 mm) 1-1/2" (38 mm) 12" (30 cm) 3605 2-1/2" (64 mm) 2" (51 mm) 12" (30 cm)3606 3" (76 mm) 2-1/2" (64 mm) 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: A4389Transparent Pouch Barrier PouchStock No Size Opening Length
3232 1" (25 mm) 5/8" (16 mm) 9" (23 cm) 3238 1-1/4" (32 mm) 7/8" (22 mm) 9" (23 cm) 3233 1-1/2" (38 mm) 1-1/8" (29 mm) 9" (23 cm) 3239 1-3/4" (44 mm) 1-3/8" (35 mm) 9" (23 cm)3234 2" (51 mm) 1-1/2" (38 mm) 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: A4389Transparent Pouch Barrier PouchStock No Size Opening Length
3222 1" (25 mm) 5/8" (16 mm) 12" (30 cm) 3228 1-1/4" (32 mm) 7/8" (22 mm) 12" (30 cm) 3223 1-1/2" (38 mm) 1-1/8" (29 mm) 12" (30 cm) 3229 1-3/4" (44 mm) 1-3/8" (35 mm) 12" (30 cm) 3224 2" (51 mm) 1-1/2" (38 mm) 12" (30 cm) 3225 2-1/2" (64 mm) 2" (51 mm) 12" (30 cm)3226 3" (76 mm) 2-1/2" (64 mm) 12" (30 cm)
Karaya 5 One-Piece Pouching System
H o l l i s t e r I n c o r p o r a t e d 1 . 8 8 8 . 7 4 0 . 8 9 9 978
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: A4389Transparent Pouch Barrier PouchStock No Size Opening Length
3278 1-1/4" (32 mm) 7/8" (22 mm) 16" (40 cm) 3273 1-1/2" (38 mm) 1-1/8" (29 mm) 16" (40 cm) 3279 1-3/4" (44 mm) 1-3/8" (35 mm) 16" (40 cm) 3274 2" (51 mm) 1-1/2" (38 mm) 16" (40 cm) 3275 2-1/2" (64 mm) 2" (51 mm) 16" (40 cm)3276 3" (76 mm) 2-1/2" (64 mm) 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: A4417Transparent Pouch Barrier PouchStock No Size Opening Length
3328 1-1/4" (32 mm) 7/8" (22 mm) 9" (23 cm) 3323 1-1/2" (38 mm) 1-1/8" (29 mm) 9" (23 cm) 3329 1-3/4" (44 mm) 1-3/8" (35 mm) 9" (23 cm) 3324 2" (51 mm) 1-1/2" (38 mm) 9" (23 cm) 3325 2-1/2" (64 mm) 2" (51 mm) 9" (23 cm)3326 3" (76 mm) 2-1/2" (64 mm) 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: A4387Transparent Pouch Barrier PouchStock No Size Opening Length
7168 1-1/4" (32 mm) 7/8" (22 mm) 9" (23 cm) 7163 1-1/2" (38 mm) 1-1/8" (29 mm) 9" (23 cm) 7169 1-3/4" (44 mm) 1-3/8" (35 mm) 9" (23 cm) 7164 2" (51 mm) 1-1/2" (38 mm) 9" (23 cm) 7165 2-1/2" (64 mm) 2" (51 mm) 9" (23 cm)7166 3" (76 mm) 2-1/2" (64 mm) 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: A4429Transparent Pouch Barrier PouchStock No Size Opening Length
1432 1"(25 mm) 5/8"(16 mm) 9" (23 cm) 1438 1-1/4"(32 mm) 7/8"(22 mm) 9" (23 cm) 1433 1-1/2"(38 mm) 1-1/8"(29 mm) 9" (23 cm) 1439 1-3/4"(44 mm) 1-3/8"(35 mm) 9" (23 cm)1434 2"(51 mm) 1-1/2"(38 mm) 9" (23 cm)
convex producT
79w w w . h o l l i s t e r . c o m H o l l i s t e r I n c o r p o r a t e d
Closed Pouches
314x (PRE-SIZED) Box of 30� Closed Mini-Pouch, Tape Adhesive, Integrated Filter,
Odor-Barrier Film, Without ComfortWear Panels
HCPCS: A4418TransparentStock No Barrier Opening Pouch Length
3142 1" (25 mm) 7" (18 cm) 3148 1-1/4" (32 mm) 7" (18 cm) 3143 1-1/2" (38 mm) 7" (18 cm) 3149 1-3/4" (44 mm) 7" (18 cm)3144 2" (51 mm) 7" (18 cm)
Stoma Cap
318x (PRE-SIZED) Box of 30� Stoma Cap, Tape Adhesive, Integrated Filter,
Odor-Barrier Film, Without ComfortWear Panels
HCPCS: A5055BeigeStock No Opening Size
3184 2" (51 mm) 4-1/4" (11 cm)3186 3" (76 mm) 4-1/4" (11 cm)
Other One-Piece Pouching System
H o l l i s t e r I n c o r p o r a t e d 1 . 8 8 8 . 7 4 0 . 8 9 9 980
Glossary • Ostomy CareGlossary • Ostomy
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
81w w w . h o l l i s t e r . c o m H o l l i s t e r I n c o r p o r a t e d
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
Educational Resources
Educational Resources
Secure Start services are here for your patients every step of the way offering:
Dedicated Support
Education & Resources
Insurance Matching
Ostomy Products
To learn more call 1.888.808.7456, or visit www.hollister.com/us/ostomy/ss
H o l l i s t e r I n c o r p o r a t e d 1 . 8 8 8 . 7 4 0 . 8 9 9 9146
Educational Resources • Ostomy
All of the Hollister educational materials listed below are available on our website: www.hollister.com
Educational DVDs Literature NoOstomy Educational Theatre 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 NoAdapt 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 NoOnline Solutions: Closing the Gap in the Continuum of Care 910676 (online only)
Convexity Literature NoA 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 NoStudy 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 Literature NoAdvanced Materials and Design for Improved Filter 910293 Performance (online only)
Educational Resources & Support
147w w w . h o l l i s t e r . c o m H o l l i s t e r I n c o r p o r a t e d
Pediatrics Literature NoProduct Adaptations in Pediatric Ostomy Care 908803
Psychosocial Adaptation Literature NoOvercoming 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 NoPartnering 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 NoFormulating 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 903515
H o l l i s t e r I n c o r p o r a t e d 1 . 8 8 8 . 7 4 0 . 8 9 9 9148
Educational Resources • Ostomy
Instructional Materials Literature NoUnderstanding 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) 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) Literature NoAdapt Barrier Rings 910395
Adapt Oval Convex Barrier Rings and 910801 Adapt Convex Barrier Rings
Adapt Lubricating Deodorant 907428
Adapt Ostomy Belt 911082
Adapt Paste 907249
Adapt Stoma Powder 907255
Colostomy Irrigation 907254
Using Convexity 907608
Fistula Management 910398
Ileostomy Dietary Guidelines 910974
Lock ’n Roll Microseal Closure (English) 911126
Lock ’n Roll Microseal Closure (Spanish) 911209
Medicare Reimbursement Guide 911046
One-Piece Pouching System 910401
One-Piece Pouching System (Spanish) 911172
Oval Cut-to-Fit Skin Barriers (online only) 910707
Patient Anatomy Guide 910396
Peristomal Skin Care/Complications 907253
NEW!
NEW!
149w w w . h o l l i s t e r . c o m H o l l i s t e r I n c o r p o r a t e d
Ostomy Care Tips (Pads of 25) (continued) Literature NoPouchkins 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 Literature NoSkin Care for your Stoma: 3 Easy Steps to Maintaining 907530 Healthy Skin
Good Eating Habits and Good Health with an Ostomy 907531
Sports and Fitness with an Ostomy 907532
Travel with an Ostomy 907533
Love and Sex for People with an Ostomy 907534
Maintaining Personal and Professional Relationships 907535 with an Ostomy
Pregnancy and Childbirth with an Ostomy 907536
Secure Start ServicesSecure Start Newsletter subscribe on www.hollister.comSecure Start Preoperative Kit ask your Sales SpecialistSecure Start Kit ask your Sales Specialist
Shadow Buddies Item NoLight Skin Tone Girl 905439
Light Skin Tone Boy 905440
Medium Skin Tone Girl 905441
Medium Skin Tone Boy 905442
Dark Skin Tone Girl 905443
Dark Skin Tone Boy 905444
Additional Resources Item NoChoosing your Ostomy Products 921853
Stoma Model (White Plastic) 858674
Consumer Support GroupsAmerican Cancer Society (ACS) www.cancer.org
Brenda Elsagher’s Website: www.livingandlaughing.com
H o l l i s t e r I n c o r p o r a t e d 1 . 8 8 8 . 7 4 0 . 8 9 9 9150
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
Index • Stock Number
H o l l i s t e r I n c o r p o r a t e d 1 . 8 8 8 . 7 4 0 . 8 9 9 9162
Stock No Page(s) Stock No Page(s) Stock No Page(s)
10xx . . . . . . . . . . . . .921410x . . . . . . . . . . . .271420x . . . . . . . . . . . .25143x . . . . . . . . . . . . .781430x . . . . . . . . . . . .261440x . . . . . . . . . . . .281450x . . . . . . . . . . . .291460x . . . . . . . . . . . .251470x . . . . . . . . . . . .261480x . . . . . . . . . . . .28149xx . . . . . . . . . . . .291520x . . . . . . . . . . . .251540x . . . . . . . . . . . .281550x . . . . . . . . . . . .291560x . . . . . . . . . . . .251580x . . . . . . . . . . . .281590x . . . . . . . . . . . .291610x . . . . . . . . . . . .261640x . . . . . . . . . . . .261796 . . . . . . . . . . . .511800x . . . . . . . . . . . .301801x . . . . . . . . . . . .321810x . . . . . . . . . . . .311811x . . . . . . . . . . . .301812x . . . . . . . . . . . .311813x . . . . . . . . . . . .301814x . . . . . . . . . . . .311815x . . . . . . . . . . . .331816x . . . . . . . . . . . .311817x . . . . . . . . . . . .311818x . . . . . . . . . . . .301819x . . . . . . . . . . . .301820x . . . . . . . . . . . .311828x . . . . . . . . . . . .3018282 . . . . . . . . . . .601829x . . . . . . . . . . . .3018292 . . . . . . . . . . .601832x . . . . . . . . . . . .321833x . . . . . . . . . . . .331835x . . . . . . . . . . . .331836x . . . . . . . . . . . .321837x . . . . . . . . . . . .321838x . . . . . . . . . . . .3218382 . . . . . . . . . . .611839x . . . . . . . . . . . .3218392 . . . . . . . . . . .611840x . . . . . . . . . . . .3318402 . . . . . . . . . . .611841x . . . . . . . . . . . .3318412 . . . . . . . . . . .611842x . . . . . . . . . . . .331873x . . . . . . . . . . . .331875x . . . . . . . . . . . .331900x . . . . . . . . . . . .341905x . . . . . . . . . . . .351910x . . . . . . . . . . . .34
1915x . . . . . . . . . . . .351920x . . . . . . . . . . . .341925x . . . . . . . . . . . .3531003 . . . . . . . . . .10931005 . . . . . . . . . .10931008 . . . . . . . . . .10931009 . . . . . . . . . .109314x . . . . . . . . . . . . .79318x . . . . . . . . . . . . .7932004 . . . . . . . . . .10832005 . . . . . . . . . .10832006 . . . . . . . . . .10832007 . . . . . . . . . .108322x . . . . . . . . . . . . .77323x . . . . . . . . . . . . .77327x . . . . . . . . . . . . .7833004 . . . . . . . . . .108332x . . . . . . . . . . . . .78334x . . . . . . . . . . . . .75340x . . . . . . . . . . . . .76360x . . . . . . . . . . . . .77366x . . . . . . . . . . . . .77370x . . . . . . . . . . . . .73372x . . . . . . . . . . . . .72373x . . . . . . . . . . . . .74374x . . . . . . . . . . . . .73376x . . . . . . . . . . . . .723761 . . . . . . . . . . . .603774 . . . . . . . . . . . .613777 . . . . . . . . . . . .593778 . . . . . . . . . . . .593795 . . . . . . . . . . . .593796 . . . . . . . . . . . .593797 . . . . . . . . . . . .603799 . . . . . . . . . . . .60380x . . . . . . . . . . . . .74381x . . . . . . . . . . . . .74382x . . . . . . . . . . . . .76383x . . . . . . . . . . . . .74384x . . . . . . . . . . . . .75387x . . . . . . . . . . . . .75389x . . . . . . . . . . . . .74390x . . . . . . . . . . . . .76506487 . . . . . . . . .130506488 . . . . . . . . .130506489 . . . . . . . . .130509338 . . . . . . . . .130509339 . . . . . . . . .130509341 . . . . . . . . .130509342 . . . . . . . . .130509343 . . . . . . . . .131509344 . . . . . . . . .131509345 . . . . . . . . .131509346 . . . . . . . . .131509347 . . . . . . . . .131509348 . . . . . . . . .131
509349 . . . . . . . . .131509372 . . . . . . . . .132509373 . . . . . . . . .132509374 . . . . . . . . .132509375 . . . . . . . . .131509376 . . . . . . . . .131509377 . . . . . . . . .131509378 . . . . . . . . .130509379 . . . . . . . . .130509380 . . . . . . . . .133509381 . . . . . . . . .133509382 . . . . . . . . .133509384 . . . . . . . . .133509387 . . . . . . . . .133509388 . . . . . . . . .133509389 . . . . . . . . .133509390 . . . . . . . . .133509393 . . . . . . . . .133509394 . . . . . . . . .133509395 . . . . . . . . .133509396 . . . . . . . . .133517210 . . . . . .69, 138517220 . . . . . .70, 138519904 . . . . . . . . .136519906 . . . . . . . . .136519921 . . . . . . . . .136519923 . . . . . . . . .136519925 . . . . . . . . .136519930 . . . . . . . . .136519932 . . . . . . . . .136519935 . . . . . . . . .136519953 . . . . . . . . .136519954 . . . . . . . . .136519955 . . . . . . . . .136519956 . . . . . . . . .136519957 . . . . . . . . .136519958 . . . . . . . . .136519959 . . . . . . . . .136519963 . . . . . . . . .136519965 . . . . . . . . .136529300 . . . . . . . . .134529301 . . . . . . . . .134529302 . . . . . . . . .134529303 . . . . . . . . .134529304 . . . . . . . . .134529305 . . . . . . . . .134529306 . . . . . . . . .134529937 . . . . . . . . .135529938 . . . . . . . . .135529939 . . . . . . . . .135529940 . . . . . . . . .135529967 . . . . . . . . .135529968 . . . . . . . . .135529969 . . . . . . . . .135529972 . . . . . . . . .135529973 . . . . . . . . .135
Stock Number Index
163w w w . h o l l i s t e r . c o m H o l l i s t e r I n c o r p o r a t e d
Stock No Page(s) Stock No Page(s) Stock No Page(s)
529974 . . . . . . . . .135529975 . . . . . . . . .137529976 . . . . . . . . .137529977 . . . . . . . . .138529978 . . . . . . . . .138529979 . . . . . . . . .138716x . . . . . . . . . . . . .787299 . . . . . . . . . . . .687300 . . . . . . . . . . . .687331 . . . . . . . . . . . .697700 . . . . . . . . . . . .71771x . . . . . . . . . . . . .697721 . . . . . . . . . . . .707723 . . . . . . . . . . . .707724 . . . . . . . . . . . .707728 . . . . . . . . . . . .70773x . . . . . . . . . . . . .697730 . . . . . . . . . . . .687731 . . . . . . . . . . . .687736 . . . . . . . . . . . .697740 . . . . . . . . . . . .707760 . . . . . . . . . . . .687766 . . . . . . . . . . . .717767 . . . . . . . . . . . .70780x . . . . . . . . . . . . .677800 . . . . . . . . . . . .7178500 . . . . . . . . . . .6778501 . . . . . . . . . . .677905 . . . . . . . . . . . .717906 . . . . . . . . . . . .677910 . . . . . . . . . . . .717917 . . . . . . . . . . . .6879300 . . . . . . . . . . .6779301 . . . . . . . . . . .6779400 . . . . . . . . . . .67795xx . . . . . . . . . . . .67796xx . . . . . . . . . . . .6780xx . . . . . . . . . . . . .458031 . . . . . . . . . . . .428081 . . . . . . . . . . . .4281xx . . . . . . . . . . . . .458131 . . . . . . . . . . . .428181 . . . . . . . . . . . .4280110 . . . . . . . . . . .4880070 . . . . . . . . . . .4881070 . . . . . . . . . . .4881110 . . . . . . . . . . .48821xx . . . . . . . . . . . .5182100 . . . . . . . . . . .50823xx . . . . . . . . . . . .5082300 . . . . . . . . . . .5082302 . . . . . . . . . . .5082400 . . . . . . . . . . .5082402 . . . . . . . . . . .5082500 . . . . . . . . . . .508331 . . . . . . . . . . . .41
834x . . . . . . . . . . . . .75843x . . . . . . . . . . . . .52844x . . . . . . . . . . . . .518440 . . . . . . . . . . . .518450 . . . . . . . . . . . .518460 . . . . . . . . . . . .51846x . . . . . . . . . . . . .51847x . . . . . . . . . . . . .52848x . . . . . . . . . . . . .52849x . . . . . . . . . . . . .52850x . . . . . . . . . . . . .46851x . . . . . . . . . . . . .47852x . . . . . . . . . . . . .46853x . . . . . . . . . . . . .448531 . . . . . . . . . . . .41855x . . . . . . . . . . . . .448551 . . . . . . . . . . . .41858x . . . . . . . . . . . . .46859x . . . . . . . . . . . . .47861x . . . . . . . . . . . . .47862x . . . . . . . . . . . . .478631 . . . . . . . . . . . .41863x . . . . . . . . . . . . .448641 . . . . . . . . . . . .41864x . . . . . . . . . . . . .458651 . . . . . . . . . . . .41872x . . . . . . . . . . . . .72873x . . . . . . . . . . . . .73874x . . . . . . . . . . . . .73875x . . . . . . . . . . . . .72877x . . . . . . . . . . . . .738770 . . . . . . . . . . . .698800 . . . . . . . . . . . .688801 . . . . . . . . . . . .68881x . . . . . . . . . . . . .74883xx . . . . . . . . . . . .4588300 . . . . . . . . . . .4288302 . . . . . . . . . . .43884xx . . . . . . . . . . . .4588400 . . . . . . . . . . .4288401 . . . . . . . . . . .4388402 . . . . . . . . . . .4388501 . . . . . . . . . . .44887xx . . . . . . . . . . . .4688700 . . . . . . . . . . .4388800 . . . . . . . . . . .43890x . . . . . . . . . . . . .7589001 . . . . . . . . . . .5289002 . . . . . . . . . . .5389003 . . . . . . . . . . .5389004 . . . . . . . . . . .5389005 . . . . . . . . . . .53910x . . . . . . . . . . . . .95920x . . . . . . . . . . . . .95931xx . . . . . . . . . . . .949342 . . . . . . . . . . . .97
9343 . . . . . . . . . . . .979345 . . . . . . . . . . . .979346 . . . . . . . . . . . .979348 . . . . . . . . . . . .969349 . . . . . . . . . . . .96940xx . . . . . . . . . . . .94941xx . . . . . . . . . . . .94951xx . . . . . . . . . . . .94960xx . . . . . . . . . . . .94961xx . . . . . . . . . . . .949645 . . . . . . . . . . . .969655 . . . . . . . . . . . .96970x . . . . . . . . . . . . .49971xx . . . . . . . . . . . .94974xx . . . . . . . . . . . .95975xx . . . . . . . . . . . .95976xx . . . . . . . . . . . .95977x . . . . . . . . . . . . .49977xx . . . . . . . . . . . .959779 . . . . . . . . . . . .49978xx . . . . . . . . . . . .959780 . . . . . . . . . . .1169781 . . . . . . . . . . .1159782 . . . . . . . . . . .1159785 . . . . . . . . . . .1169786 . . . . . . . . . . .1169788 . . . . . . . . . . .115979xx . . . . . . . . . . . .959799 . . . . . . . . . . .1159805 . . . . . . . . . . . .969811 . . . . . . . . . . . .989814 . . . . . . . . . . . .969821 . . . . . . . . . . .1109822 . . . . . . . . . . .1109823 . . . . . . . . . . .1109839 . . . . . . . . .71, 989840 . . . . . . . . . . . .989873 . . . . . . . . . . . .989880 . . . . . . . . . . .110Bxxx . . . . . . . . . . . . .93BxxxB . . . . . . . . . . . .93HB2214 . . . . . . . . .129HB4414 . . . . . . . . .129HB6614 . . . . . . . . .129HBT0906 . . . . . . . .129HBHD4450 . . . . . . .129HBHD6675 . . . . . . .129HBRF4414 . . . . . . .129HBRF2258 . . . . . . .129HBRF4475 . . . . . . .129HBRF2650 . . . . . . .129
Index • Product Name
H o l l i s t e r I n c o r p o r a t e d 1 . 8 8 8 . 7 4 0 . 8 9 9 9164
Name Page(s)
ActiFlo Accessories ...........................................................................................109ActiFlo Catheter Kits with Disposable Odor-Barrier Collection Bags ......................108ActiFlo Catheter Kits with Drainable Odor-Barrier Collection Bag .........................108Adapt Odor Eliminator and Lubricant ....................................................................67Adapt Ostomy Belts .............................................................................................68Adapt Skin Barrier Accessories ............................................................................67Adapt Skin Barrier Paste ......................................................................................67Adapt Stoma Powder ...........................................................................................67Adhesives and Removers .....................................................................................68Advance Plus Touch Free Intermittent Catheter ....................................................94Advance Plus Touch Free Intermittent Catheter System ........................................94Anchor Fast Oral Endotracheal Tube Fastener ....................................................115Apogee Plus System ............................................................................................93Apogee Plus System Kit .......................................................................................93Apogee Intermittent Catheter ...............................................................................92
Bedside Drainage Collection System with Anti-Reflux Valve ........................... 71, 98
CenterPointLock Closed Pouches ........................................................................75CenterPointLock Drainable Pouches .............................................................. 74–75CenterPointLock Flat Skin Barriers with Floating Flanges................................ 72–73CenterPointLock Stoma Cap ................................................................................76CenterPointLock Urostomy Pouches .............................................................. 75–76Convex Skin Barriers with Floating Flanges .................................................... 73–74
Drainable Pouch Clamp ......................................................................................69Drain Tube Attachment Device ...........................................................................116
Everyday Male External Catheter .........................................................................95Extended Wear Male External Catheter .................................................................95
Fabric Leg Bag Straps ........................................................................................97Fecal Collectors .................................................................................................110Feeding Tube Attachment Device .......................................................................116Female Urinary Pouch External Collection Device ..................................................98
Hollister Universal Catheter Access Port ..............................................................49Horizontal Tube Attachment Device ....................................................................115 Hydrofera Blue Foam Dressings .........................................................................129
InstaFlo Catheter Kit ..........................................................................................108 InView Male External Catheters ............................................................................95Irrigation Products ...............................................................................................70Irrigator Sleeve ....................................................................................................76
Karaya 5 Closed Pouches ...................................................................................78Karaya 5 Drainable Pouches ......................................................................... 77–78Karaya 5 Urostomy Pouches ................................................................................78
Latex-Free Extension Tubing ...............................................................................97Loop Ostomy Bridge ............................................................................................70
m9 Cleaner/Decrystallizer ...................................................................................69m9 Odor Eliminators ............................................................................................68Male Urinary Pouch External Collection Device......................................................98
Product Name Index
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Name Page(s)
New Image Closed Pouches ......................................................................... 32–33New Image Convex Skin Barriers with Integrated Floating Flanges ................. 28–29 New Image Drainable Pouches ..................................................................... 30–31New Image Flat Skin Barriers with Integrated Floating Flanges ....................... 25–27New Image High Output Drainable Pouches .........................................................32New Image Irrigator Sleeve ..................................................................................33New Image Non Sterile Kits — Drainable .............................................................34New Image Non Sterile Kits — Urostomy .............................................................34New Image Sterile Kits — Drainable ....................................................................35New Image Sterile Kits — Urostomy ....................................................................35New Image Urostomy Pouches.............................................................................33
Other Closed Pouches ........................................................................................79Other Stoma Cap .................................................................................................79
Pouchkins Newborn Pouch..................................................................................59Pouchkins One-Piece Pouches...................................................................... 59–60Pouchkins Pediatric Ostomy Belt ..........................................................................61Pouchkins Premie Pouch .....................................................................................59Pouchkins Two-Piece Pouches ..................................................................... 60–61Pouchkins Two-Piece Skin Barrier ........................................................................60Premier Closed Pouches ............................................................................... 50–51Premier Drainable Pouches with Convex Barriers ........................................... 46–47Premier Drainable Pouches with Flat Barriers ................................................ 41–46Premier High Output Drainable Pouches ...............................................................48Premier Non Sterile Kits — Drainable ........................................................... 52–53Premier Non Sterile Kits — Urostomy ..................................................................53Premier Stoma Cap .............................................................................................51Premier Urostomy Pouches with Convex Barriers ..................................................52Premier Urostomy Pouches with Flat Barriers .......................................................51Premier Wound Drainage Collectors .....................................................................49
Replacement Filters ............................................................................................71Restore Adhesive Foam Dressing with TRIACT Technology .................................131Restore Calcium Alginate Dressing Silver ...........................................................135Restore Calcium Alginate Dressing .....................................................................135Restore Cleanser & Moisturizer ..........................................................................138Restore Contact Layer Dressing with Silver and TRIACT Technology ....................130Restore Contact Layer Dressing with TRIACT Technology ....................................130Restore Contact Layer FLEX Dressing with TRIACT Technology ...........................130Restore DimethiCreme Skin Protectant ...............................................................138Restore DUO Absorbent Dressing with TRIACT Technology .................................131Restore Extra Thin Hydrocolloid Dressing ............................................................136Restore Foam Border Dressing Featuring TRIACT ADVANCED Technology ...........133Restore Foam Dressing without Border ..............................................................133 Featuring TRIACT ADVANCED Technology Restore Heel Dressing without Border ..............................................................133Restore Hydrocolloid Dressing ............................................................................136Restore Hydrocolloid Dressing with Foam Backing ..............................................136Restore Hydrogel Dressing .................................................................................135
Index • Product Name
H o l l i s t e r I n c o r p o r a t e d 1 . 8 8 8 . 7 4 0 . 8 9 9 9166
Name Page(s)
Restore Hydro-Shield Foam Dressing .................................................................134Restore Hydro-Shield Foam Dressing without Border ..........................................134Restore LITE Foam Dressing without Border .......................................................133 Featuring TRIACT ADVANCED TechnologyRestore Non-Adhesive Foam Dressing with Silver and ........................................131 TRIACT TechnologyRestore Non-Adhesive Foam Dressing with TRIACT Technology ..........................131Restore Odor-Absorbent Dressing ......................................................................136Restore Skin Care Products .................................................................................69Restore Skin Cleanser ................................................................................ 69, 138Restore Skin Conditioning Creme .......................................................................138Restore 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 .........................................................................................68Suction Tube Attachment Device........................................................................116
Urinary Leg Bag ..................................................................................................96Urinary Leg Bag Combination Pack ......................................................................96Urostomy Drain Tube Adapter ..............................................................................69
Vented Urinary Leg Bag Combination Pack ..........................................................96Vertical Tube Attachment Device ........................................................................115
Index • HCPCS Codes
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HCPCS Page(s) HCPCS Page(s)
A4326 . . . . . . . . . . . . . . . . . . . . . . 98A4328 . . . . . . . . . . . . . . . . . . . . . . 98A4330 . . . . . . . . . . . . . . . . . . . . . 110A4331 . . . . . . . . . . . . . . . . . . . . . . 97A4349 . . . . . . . . . . . . . . . . . . . . . . 95A4351 . . . . . . . . . . . . . . . . . . . . . . 92A4352 . . . . . . . . . . . . . . . . . . . . . . 92A4353 . . . . . . . . . . . . . . . . . . .93, 94A4357 . . . . . . . . . . . . . . . . . . .71, 98A4358 . . . . . . . . . . . . . . . . . . . . . . 96A4362 . . . . . . . . . . . . . . . . . . .59, 71A4363 . . . . . . . . . . . . . . . . . . . . . . 69A4364 . . . . . . . . . . . . . . . . . . . . . . 68A4367 . . . . . . . . . . . . . . . . . . .61, 68A4368 . . . . . . . . . . . . . . . .71, 74, 77A4371 . . . . . . . . . . . . . . . . . . .67, 71A4373 . . . . . . . . . . . . . . . .28, 29, 74A4385 . . . . . . . . . . . . . . . . . . .67, 68A4387 . . . . . . . . . . . . . . . . . . . . . . 78A4388 . . . . . . . . . . . . .41, 44, 45, 53A4389 . . . . . . . . . . . . . . . . . . .77, 78A4390 . . . . . . . . . . . . . . . . . . .46, 47A4394 . . . . . . . . . . . . . . . . . . .67, 69A4397 . . . . . . . . . . . . . . . .33, 70, 76A4398 . . . . . . . . . . . . . . . . . . . . . . 70A4399 . . . . . . . . . . . . . . . . . . . . . . 70A4402 . . . . . . . . . . . . . . . . . . . . . . 70A4405 . . . . . . . . . . . . . . . . . . . . . . 71A4406 . . . . . . . . . . . . . . . . . . . . . . 67A4407 . . . . . . . . . . . . . . . .28, 29, 73A4408 . . . . . . . . . . . . . . . . . . . . . . 28A4409 . . . 25, 26, 27, 34, 35, 72, 73A4410 . . . . . . . . . . . . . . . . . . .25, 72A4411 . . . . . . . . . . . . . . . . . . . . . . 67A4412 . . . . . . . . . . . . . . . . . . .32, 75A4414 . . . 25, 26, 34, 35, 60, 72, 73A4415 . . . . . . . . . 25, 34, 35, 72, 73A4416 . . . . . . . . . . . . . . . . . . .50, 51A4417 . . . . . . . . . . . . . . . . . . . . . . 78A4418 . . . . . . . . . . . . . . . . . . . . . . 79A4419 . . . . . . . . . . . . . . . .32, 61, 75A4421 . . . . . . . . . . . . . . . . . . .69, 70A4424 . . . . . . . . . 42, 43, 45, 46, 59A4425 . . . . . . . . . . . . .30, 31, 60, 74A4428 . . . . . . . . . . . . . . . . . . .51, 53A4429 . . . . . . . . . . . . . . . . . . . . . . 78A4430 . . . . . . . . . . . . . . . . . . . . . . 52A4432 . . . . . . 33, 34, 35, 61, 75, 76A4455 . . . . . . . . . . . . . . . . . . . . . . 68A4456 . . . . . . . . . . . . . . . . . . . . . . 68A5052 . . . . . . . . . . . . . . . . . . . . . . 59A5054 . . . . . . . . . . . . . . . . . . . . . . 33
A5055 . . . . . . . . . . . . . . . .51, 76, 79A5056 . . . . . . . . . . . . . . . . . . . . . . 41A5057 . . . . . . . . . . . . . . . . . . . . . . 46A5061 . . . . . . 42, 43, 44, 52, 53, 59A5062 . . . . . . . . . . . . . . . . . . . . . . 59A5063 . . . 30, 31, 34, 35, 60, 74, 75A5071 . . . . . . . . . . . . . . . . . . . . . . 60A5114 . . . . . . . . . . . . . . . . . . . . . . 97A5120 . . . . . . . . . . . . . . . . . . . . . . 68A5122 . . . . . . . . . . . . . . . . . . . . . . 68A5131 . . . . . . . . . . . . . . . . . . . . . . 69A5200 . . . . . . . . . . . . . . . . .115, 116A6154 . . . . . . . . . . . . . . . . . . .48, 49A6196 . . . . . . . . . . . . . . . . . . . . . 135A6197 . . . . . . . . . . . . . . . . . . . . . 135A6199 . . . . . . . . . . . . . . . . . . . . . 135A6206 . . . . . . . . . . . . . . . . . . . . . 130A6207 . . . . . . . . . . . . . . . . . . . . . 130A6208 . . . . . . . . . . . . . . . . . . . . . 130A6209 . . . . 129, 131, 133, 134, 136A6210 . . . . . . . . 129, 131, 133, 134A6211 . . . . . . . . . . . . . . . . .134, 136A6212 . . . . . . . . 129, 131, 133, 134A6213 . . . . . . . . . . . . .131, 133, 134A6215 . . . . . . . . . . . . . . . . . . . . . 129A6231 . . . . . . . . . . . . . . . . . . . . . 135A6234 . . . . . . . . . . . . . . . . .131, 136A6235 . . . . . . . . . . . . . . . . .131, 136A6236 . . . . . . . . . . . . . . . . . . . . . 136A6237 . . . . . . . . . . . . . . . . . . . . . 132A6238 . . . . . . . . . . . . . . . . . . . . . 132A6248 . . . . . . . . . . . . . . . . . . . . . 135A6250 . . . . . . . . . . . . . . . . . .70, 138A6260 . . . . . . . . . . . . . . . . . . . . . 137A6266 . . . . . . . . . . . . . . . . . . . . . 135A9270 . . . . . . . . . . . . . . .69, 96, 138A9900 . . . . . . . . . . . . . . . . . . . . . 115A9999 . . . . . . . . . . . . . . . . .115, 116B9998 . . . . . . . . . . . . . . . . . . . . . 116
HCPCS Code Index
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.
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Hollister Incorporated2000 Hollister DriveLibertyville, Illinois 60048 USA
www.hollister.com
© 2012 Hollister Incorporated. Printed in USA.921867-112
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)
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