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Page 1: Ostomry Product Hollister

Ostomy Care

OstomyCare

Page 2: Ostomry Product Hollister

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

Page 3: Ostomry Product Hollister

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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.

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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

Page 5: Ostomry Product Hollister

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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

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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)

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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)

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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)

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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)

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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

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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

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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.

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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.

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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…

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New ImageTwo-Piece Pouching

System

New Im

ageTw

o-Piece Pouching System

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www.hollister.comHollister Ostomy. Details Matter.

New ImageTwo-Piece Pouching System

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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)

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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…

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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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PremierOne-Piece

Pouching System

Premier

One-Piece Pouching System

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www.hollister.comHollister Ostomy. Details Matter.

PremierOne-Piece Pouching System

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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

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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)

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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…

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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

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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

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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)

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Pouchkins Pediatric

Pouching System

Pouchkins Pediatric

Pouching System

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www.hollister.comHollister Ostomy. Details Matter.

PouchkinsPediatric Pouching System

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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

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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)

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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…

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Ostomy

Accessories

OstomyAccessories

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www.hollister.comHollister Ostomy. Details Matter.

AdaptOstomy Accessories

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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

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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

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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

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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

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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)

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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

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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

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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

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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)

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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)

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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

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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

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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

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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

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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

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Educational Resources

Educational Resources

Page 67: Ostomry Product Hollister

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

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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

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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

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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!

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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

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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

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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

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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

Page 75: Ostomry Product Hollister

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

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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

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Index • HCPCS Codes

167w 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

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

Page 79: Ostomry Product Hollister

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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Page 80: Ostomry Product Hollister

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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