Ostomy

Stina

Making life easier

Effective December 2022

Product Guide

Ostomy

Welcome

to Coloplast

Coloplast is a leader in the market

within intimate healthcare. For

more than sixty years, we’ve

worked closely with healthcare

professionals and users to

develop products and services

that make life easier for people

with intimate healthcare needs.

Our Mission

Making life easier for

people with intimate

healthcare needs

Table of Contents

Accessories �� 7-16

Irrigation ��17-18

2-Piece Click ��19-40

2-Piece Flex �� 41-50

1-Piece��51-80

Hospital Assortment / Wound Management ��81-102

Pediatric ��103-114

Reference Tools �� 115-124

Education

Ostomy Care ............................................................................. 115-118

Ostomy Education .............................................................................119

Medicare Utilization

Ostomy ........................................................................................ 120-121

HCPCS Codes ........................................................................... 122-124

Index ��125-132

Leakage and skin issues are closely

related challenges. The right ﬁt helps

prevent both.

Leakage

Skin issues

76%

of people with a stoma have

experienced leakage within the

last six months.

Leakage

is often caused by a poor

ﬁt to the body.

Skin issues

There is a signiﬁcant correlation

between leakage frequency

and the severity of the

peristomal skin condition.

61%

of users attributed their most

recent skin issue to leakage

under the barrier.

Through BodyFit Technology,

we offer a secure ﬁt to real

bodies to help prevent

leakage and skin issues

1. Results from the 2014 Ostomy Life Study - an international survey aimed to better

understand the challenges people living with an ostomy face (n=4138 ostomates).

Published: Claessens I, Probert R, et. al. The Ostomy Life Study: the everyday

challenges faced by people living with a stoma in a snapshot. Gastrointestinal Nursing.

2015;13(5), 18-25.

2. Results from a multinational, randomized controlled cross-over trial comparing SenSura

Mio Convex to the study participants' own appliance (n=129). Published: Walker H,

Hopkins G, et. al. Raising the bar: New ﬂexible convex ostomy appliance - a

randomised controlled trial. World Council of Enterostomal Therapists Journal.

2016;36(1) S6-S11.

3. Results from the 2018-2019 Ostomy Life Study - an international survey (n=3112

ostomates); Coloplast market research, Data on ﬁle.

To learn more, visit us at www�sensuramio�us or call 1-888-726-7872�

SenSura Mio was designed to ﬁt individual bodies –

and now, a recent 2,359-patient survey demonstrated

that SenSura Mio users report less leakage onto their

clothes than other extended wear products, while

experiencing similar or even longer wear time using

SenSura Mio

While SenSura Mio was initially launched into the

standard wear category, recent user experience

, clinician

evaluation

, and lab-based data

reinforces SenSura Mio’s

performance as an extended wear product.

With this change, users who need or would prefer an

extended wear product will now have access to SenSura

Mio’s unique technology, designed to reduce the worry

about leakage & provide a comfortable ﬁt:

• Full-circle ﬁlter to reduce ballooning

• Discreet neutral-gray, soft woven textile

• Wide outlet

• A ﬂexible ﬁt, thanks to BodyFit Technology, an elastic

adhesive that is unique in all SenSura Mio barriers.

The #1 ostomy brand in

the world, SenSura® Mio,

is now Extended Wear*!

*Excluding 1-piece closed-end pouches

1. Ostomy pouch user survey, 2021, n=2,359. Dataset collected by Coloplast but includes all

brands. Data on ﬁle.

2. Product evaluation of SenSura Mio Convex, 2016, n=98 clinicians.

3. Data from 48h bench testing performed by Coloplast; may not be indicative of clinical

performance. Data on ﬁle.

www.coloplast.us 1-800-533-04646

Products of Distinction

SenSura® Mio

Convex

Three types and two

depths to ﬁt different

bodies

SenSura® Mio High

Output

The only 1-piece

convex option with a

spout outlet for fecal

output. Also available

in 1-piece ﬂat, 2-piece

Click, and 2-piece Flex

SenSura® Mio

Convex Flip

Designed to ﬁt curves,

bulges and hernias

with less creasing

and folding

SenSura® Mio Flex

• Floating ﬂange

• Easy to apply

• Flexible coupling

Soft

6mm

Light

6mm

Deep

9mm

Soft

outlet

Tap

outlet

“ I was determined to play

sports again. The Brava®

Protective Seal gave me

conﬁdence.”

– Kevin*

Security to live

everyday life

* Kevin is a Brava user who has received compensation from Coloplast to provide this

information.

Accessories

The Brava® Ostomy

Support Belt brings

relief by relieving the

heavy sensation of

hernias.

• Comfortable and

breathable fabric

• Stretchable to ﬁt body contours

• Easy-to-use pocket closure

• Silicone grip to prevent sliding and rolling

Brava®

supporting products

For customizing pouching system ﬁt

and for issues such as leakage and

skin irritation.

Brava® Protective Seal

• Easily shaped

• Leaves minimal residue behind

• Follows body movements

• Signiﬁcantly reduces leakage

compared to competitor rings*

NEW! Brava® Protective

Seal Convex

The new Brava Protective

Seal Convex is designed to

protect the skin against

leakage for ﬂush or

retracted stomas and

patients with folds, creases or scarring around

their stoma.

*Based on bench test data. May not be indicative of clinical performance.

Accessories

Ostomy Care

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

Accessories

Think again. Think Brava®

Designed to address leakage and care for your skin.

Brava® Elastic Barrier Strips

Skin-friendly strips are used to “picture frame”

around an ostomy barrier, designed for extra security.

• Elastic (follow the contours of the body)

• Ensure the position of the barrier and designed to

minimize roll-up

• Skin-friendly and secure alternative to tape

• Not made with natural rubber latex

Brava® Elastic Barrier Strips- Curved

For round or oval barrier shapes

Code Size Units HCPCS*

120700** 5½" strips 20 strips A4362

**2 strips = 1 billable unit of A4362

Brava® Elastic Barrier Strips- Y shape

Designed for users with challenging body shapes,

e.g. hernias or skin folds

Code Size Units HCPCS*

120721** 5

⁄4" strips 30 strips A5121

**3 strips = 1 billable unit of A5121

Brava® Elastic Barrier Strips- Straight

For square or rectangular barrier shapes

Code Size Units HCPCS*

120740** 5¼" strips 20 strips A4362

**2 strips = 1 billable unit of A4362

Brava® Elastic Barrier Strip XL

Designed for increased security & support

around the barrier. Wider shape accommodates

the petals of Convex Flip.

Code Size Units HCPCS*

12076** 6

⁄4" strips 30 strips A5121

**3 strips = 1 billable unit of A5121

www.coloplast.us 1-800-533-0464

Accessories

Brava® Protective Seal

Moldable barrier ring designed to adhere securely

and protect the skin around the stoma.

• Soft, flexible material adapts to body shape

as the wearer bends and stretches

• Can be easily and cleanly removed

• Alcohol-free and sting-free

• Multiple sizes for a custom fit

• Not made with natural rubber latex

Code

Stoma

size

Adhesive

diameter

Thickness Seal width Units HCPCS*

12035 ¾” 1

” 2.5 mm Standard (

”) 10 A4385

12036 ¾” 2 ¼” 2.5 mm Wide (¾”) 10 A4385

12038 ¾” 2 ½” 2.5 mm Wide (

”) 10 A4385

12037 1

” 2 ¼” 2.5 mm Standard (

”) 10 A4385

12039 1

” 2 ½” 2.5 mm Standard (

”) 10 A4385

12045 ¾” 1

” 4.2 mm Standard (

”) 10 A4385

12046 ¾” 2 ¼” 4.2 mm Wide (¾”) 10 A4385

12048 ¾” 2 ½” 4.2 mm Wide (

”) 10 A4385

12047 1

” 2 ¼” 4.2 mm Standard (

”) 10 A4385

12049 1

” 2 ½” 4.2 mm Standard (

”) 10 A4385

12032 ¾”

2.5 mm Extra wide

”)

10 A4385

12033 1

”

2.5 mm Extra wide

(

”)

10 A4385

Brava® Protective Seal Convex

Moldable barrier ring designed to provide

convexity for flush or retracted stomas

and patients with folds, creases or scarring

around their stoma.

• High-tack adhesive that flows quickly into

skin, filling small creases

• Erosion resistant composition

• High flexibility to maintain seal during body movement

• Steep sides designed to provide convexity to peristomal area

• Thin edges fit snugly around peristomal area

• Not made with natural rubber latex

Code Stoma size Thickness Units HCPCS*

12090 ¾” 8.2mm 10 A4411

12091 1” 8.2mm 10 A4411

12092 1

” 8.2mm 10 A4411

12093 1

” 8.2mm 10 A4411

12094 1

” 8.2mm 10 A4411

12095 1¾” 8.2mm 10 A4411

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

Brava® Moldable Ring

Designed for dual-action leakage reduction - used to

fill in uneven skin surfaces and protect the skin.

• Molds and adheres securely to dips, creases,

and folds to help create a tight seal around

the stoma

• Helps keep skin healthy by protecting it from

output and absorbing moisture from the skin

• Easy to handle, mold and apply

• Alcohol-free and sting-free

• Not made with natural rubber latex

Code Size Units HCPCS*

120307 2 mm (thin) 10 A4385

120427 4.2 mm (thick) 10 A4385

Brava® Strip Paste

Pectin-based product that protects peristomal skin.

• Protects peristomal skin from stoma output

• Used to fill uneven skin surfaces to create a flat

pouching surface

• Alcohol-free and sting-free

• Not made with natural rubber latex

Code Size Units HCPCS*

26555 2 oz. total package

(.2 oz. per strip)

10 strips A4406

Brava® Paste

A sting-free alternative to conventional alcohol-based paste.

• Creates a tight, effective seal between peristomal

skin and the ostomy/fistula appliance

• No alcohol = no need to “set”; contains pectin

• Not made with natural rubber latex

Code Size Units HCPCS*

12050 2 oz. 1 A4406

Coloplast® Paste

Used to fill in uneven skin surfaces to create a

flat pouching surface.

• Provides tight sealing around the stoma

• Protects against stoma output, minimizing risk of maceration

• Low alcohol content; no pectin

• Not made with natural rubber latex

Code Size Units HCPCS*

2650 2 oz. 12 A4405

Accessories

www.coloplast.us 1-800-533-046412

Brava® Skin Cleanser Wipes

The wipe that cleans and cares. A convenient

way to cleanse and maintain healthy skin when

changing the ostomy pouching system.

• Contains ProVitamin B5 to provide a

soothing and moisturizing effect

• Does not contain alcohol or perfumes

• No residue left on the skin that could affect barrier adhesion

• Not made with natural rubber latex

Code Size Units HCPCS*

12080 1 wipe 15 wipes/pack A9286**

Brava® Lubricating Deodorant

A pouch lubricant + deodorizer in one. Powder-fresh

liquid neutralizes odor and allows output to slide to the

bottom of the pouch for easier emptying.

• Not made with natural rubber latex

Code Size Units HCPCS*

12060 .25 ﬂ. oz. (7.5 mL)

sachet

20 sachets A4394

12061 8 oz. bottle 16 A4394

Brava® Adhesive Remover Spray

• Designed to lift the edges of the barrier for ease

in removal

• Dries within seconds without leaving an oily

residue behind

• Alcohol-free, silicone-based, and sting-free

• Not made with natural rubber latex

Code Size Units HCPCS*

120105 1.7 oz. (50 mL) 1 A4455**

Brava® Adhesive Remover Wipes

• Wipe away adhesive residue

• Dries within seconds without leaving an oily

residue behind

• Alcohol-free, silicone-based, and sting-free

• Not made with natural rubber latex

Code Size Units HCPCS*

120115 1 wipe 30 wipes/box A4456**

Brava® Skin Barrier Spray

• Protects against stoma output and adhesives

• Dry within seconds without building a thick or tacky layer

• Alcohol-free, silicone-based, and sting-free

• Not made with natural rubber latex

Code Size Units HCPCS*

120205 1.7 oz. (50 mL) 1 A4369**

Accessories

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

Brava® Skin Barrier Wipes

• Protects against stoma output and adhesives

• Dry within seconds without building a thick or tacky layer

• Tip: wring the wipe like a wet rag to expel the liquid,

then wipe to disperse on skin

• Alcohol-free, silicone-based, and sting-free

• Not made with natural rubber latex

Code Size Units HCPCS*

120215 1 wipe 30 wipes/box A5120**

Brava® Protective Sheet

Hydrocolloid skin barrier that protects

the skin from stoma output.

• Offers effective protection for peristomal

skin and “3-way stretch”

• Provides a ready surface for good adhesion

• Adheres to moist skin

• Not made with natural rubber latex

Code Size Units HCPCS*

32105 4 x 4" (10 x 10 cm) 10 A4362

32155 6 x 6" (15 x 15 cm) 5 A5121

32205 8 x 8" (20 x 20 cm) 5 A5122

Brava® Powder

Non-sterile protective powder for moisture absorption.

• May use in conjunction with Brava® Skin Barrier Spray or

PREP

™

to “crust”, thereby protecting moist skin

• Not made with natural rubber latex

Code Size Units HCPCS*

19075 1 oz. (25 g) 16 A4371

Hex-On®

Odor Antagonist

• Helps control airborne odors

• Non-aerosol spray

• Not made with natural rubber latex

Product Code Size Units

Fresh Linen

7583

2 ﬂ. oz./59 mL 12

Fragrance Free 67589 2 ﬂ. oz./59 mL 12

Ostomy Scissors

Curved ostomy scissors.

• Not made with natural rubber latex

Code Size Units HCPCS*

95050 One size 30/bx N/A

Accessories

**Product has not been through PDAC veriﬁcation

www.coloplast.us 1-800-533-046414

Coloplast® Skin Barrier Rings

Soft and flexible barrier rings provide skin

protection for stomas, fistulas, and draining wounds.

• Non-pectin based

• Not made with natural rubber latex

Code Size Units HCPCS*

2310

⁄8" (10 mm) 30 A4404

2315

⁄5" (15 mm) 30 A4404

2320

⁄4" (20 mm) 30 A4404

2325 1" (25 mm) 30 A4404

2330 1

⁄8" (30 mm) 30 A4404

2340 1

⁄5" (40 mm) 30 A4404

2350 2" (50 mm) 30 A4404

Prep™ Protective Skin Barrier

Clear film forms a breathable barrier

protecting against skin irritants such as

adhesives, urine and feces. No need to

remove between applications.

• Not made with natural rubber latex

Wipes

Code Size Units HCPCS*

2041 54 wipes/pack 12 packs/box A5120

Dabber

Code Size Units HCPCS*

0925 2 ﬂ. oz. (59 mL) 12 A4369

Pouch Filters (Filtrodor®)

Charcoal-activated, deodorizing filter with

self-sealing foam center; adheres to pouch.

• Not made with natural rubber latex

Code Units HCPCS*

0509 50

each box contains 5 packs of 10

A4368

Drainable Pouch Clamp

Simple closure clamp is easy to manipulate,

even for those with low dexterity.

• Not made with natural rubber latex

Code Units HCPCS*

9500 20 A4363

Accessories

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

Brava® Ostomy Support Belt

This belt relieves the heavy sensation

of hernias and may help prevent hernias

post-operatively. Comfortable and

breathable fabric, stretchable to fit body

contours, intuitive pocket closure, and includes a silicone grip to

prevent sliding and rolling.

• Not made with natural rubber latex

• All sizes are an 8" width

Code Size Units HCPCS*

12003 S (29-32") 1 A4396

12004 M (31-35") 1 A4396

12005 L (34-39") 1 A4396

12006 XL (37-42") 1 A4396

12007 2XL (40-46") 1 A4396

12008 3XL (44-51") 1 A4396

12009 4XL (50-58") 1 A4396

Brava® Belt for SenSura® Mio

Neutral gray color was designed to blend in under

clothing. Four-tab connection provides extra stability

across the entire peristomal area. Designed

specifically for use with SenSura® Mio products

with belt tabs.

• Not made with natural rubber latex

Code Size Units HCPCS*

4237 40" length 15 A4367

4247 61" length 15 A4367

Brava® Belt

Neutral gray color was designed to blend in

under clothing. Comfortable, adjustable belt

offers extra security for people with a flush or

retracted stoma by supporting a convex barrier

and allowing the stoma to protrude.

• Single tab attachment is designed to be compatible

with most conventional ostomy products with belt tabs.

• Not made with natural rubber latex

Code Size Units HCPCS*

4215 43

⁄33" length 15 A4367

4220 49" length 15 A4367

Urostomy Night Bag

Includes a fixed connector that fits directly to

SenSura® Mio, SenSura® and Assura® urostomy

pouches. The bag holds up to 2 liters and has a

120 cm long flexible tube with anti-reflux valve.

Bag hanger (#5070) not included. Order separately.

• Not made with natural rubber latex

Code Units HCPCS*

21365 10 A4357

Accessories

www.coloplast.us 1-800-533-046416

Bed Drainage Bag

Wide-lumen bag tubing specifically designed for

fecal output. Holds up to 2000 mL. Long tubing

can be cut easily and allows nurses to find

the right length for bed drainage. Can be

used with fistula / wound management

systems or high-output pouches. Bag hanger

(#5070) not included. Order separately.

• Not made with natural rubber latex

Code Units HCPCS*

14010 6 A4357

Bag Hanger

Reusable, sturdy, plastic drainage bag hanger

secures tubing and ensures bag stability.

• Not made with natural rubber latex

Code Size Units HCPCS*

5070 One Size 1 Medicare N/A

Other A4421

Extra Drain Port

For use with Fistula Wound Management

Systems (page 89). Drain port can be easily

applied to the lid to allow for catheter

insertion. For catheters ranging from

18FR - 22FR, the drain port is ready for use.

For catheters ranging from 24FR-30FR, pull

off the top of the drain port - DO NOT CUT�

• Not made with natural rubber latex

Code Units

14015 12

Coloplast® Transparent Fistula Lids

Replacement lids match the transparent

lid included with each ﬁstula pouch.

• Not made with natural rubber latex

Code Size Units

14021 Mini (matches 14050) 10

14031 Midi (matches 14060) 10

14041 Maxi (matches 14070) 10

Accessories / Irrigation

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

Irrigation Sets

Coloplast® Economy Version

Durable water bag with integrated thermometer, bold print,

large opening. Can be used with 1- or 2-piece ostomy systems�

• Not made with natural rubber latex

Code Units Includes HCPCS*

1500 1 1- Water Bag/Regulator

1- Cone (#1110)

A4398

A4399

Assura® Hospital Version

Durable water bag with integrated thermometer, bold print, large

opening. Can be used with 1- or 2-piece ostomy systems�

• Not made with natural rubber latex

Code Units Includes HCPCS*

1500H 1 1- Water Bag/Regulator

1- Cone (#1110)

4- Adhesive Irrigation

Sleeves (#1003)

2- Closure Clips (#9500)

A4398

A4399

A4437

SenSura® or Assura® Deluxe Version

Components supplied in a travel bag�

• Not made with natural rubber latex

Code Units Includes HCPCS*

12830 1 1- Water Bag/Regulator

1- Cone (#1110)

1- Irrigation Faceplate (#12820)

1- Belt (#4215)

2- Irrigation Sleeves (#12836)

A4398

A4399

A4361

A4367

A4436

Irrigation Sleeves

Irrigation Sleeves (with adhesive)

Disposable irrigation sleeve (adhesive-backed).

• Not made with natural rubber latex

Transparent

Code Units HCPCS*

1003 10 A4437

Irrigation

18 www�coloplast�us 1-800-533-0464

Irrigation Sleeves

(without adhesive)

Irrigation sleeves for use with SenSura® Click or Assura® barriers or

faceplate. Consult chart below to order the correct transparent sleeves.

• Not made with natural rubber latex

Code Size Units HCPCS*

12834

5 A4436

12835

A4436

12836

5 A4436

Irrigation Sleeve # Use with SenSura® Click Product Code Units

12834

- 10011, 10012, 10013, 10015-

10017, 11011, 11012, 11015, 11016

12835

- 10021, 10022, 10023, 10025-

10027, 11021-11025

12836

- 10031, 10032, 10035, 10036,

11031, 11032, 11035, 11036

Irrigation Accessories

Assura® Irrigation Faceplate

For use with ostomy belt 4215 or 4220.

(Use with #12836 Irrigation Sleeve) Note: not

compatible with Brava® Belt for SenSura® Mio

• Not made with natural rubber latex

Code Units HCPCS*

12820 1 A4361

Coloplast Stoma Cone

Soft and flexible stoma cone with tubing.

• Not made with natural rubber latex

Code Units HCPCS*

1110 1 A4399

Irrigation

Pouch can be repositioned

while it’s still on the body

Tactile experience of pressing

two pieces together can be

reassuring

Lock ring gives an audible cue

that it’s securely locked

2-piece Click

(Mechanical coupling)

2-Piece Click

www.coloplast.us 1-800-533-0464

SenSura® Mio Click

BodyFit Technology is an elastic adhesive

barrier found in all SenSura® Mio Barriers.

This unique barrier quickly adheres to the

skin, ﬂows into creases and folds, is highly

stretchable, and ﬂexes with the body. This

may help prevent channels and gaps and may

result in reducing leakage and skin issues.

The ﬁt is

the difference

between sitting on the

edge and diving right in

Mike is a SenSura® Mio Click user and has received compensation

from Coloplast.

2-Piece Click

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

2-Piece SenSura® Mio Click

SenSura® Mio Click Barrier

• Extended wear

• Flat

• Belt tabs for use with 4237, 4247

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Cut-to-ﬁt

10502

⁄8-1

⁄8" (10-35 mm)

A4409

10512

⁄8-1

⁄4" (10-45 mm) A4409

10522

⁄8-2

⁄8" (10-55 mm) A4410

10531

⁄8-2

⁄16" (10-65 mm) A4410

Pre-cut

10503

⁄4" (20 mm) A4409

10506

⁄8" (22 mm) A4409

10504 1" (25 mm)

A4409

10505 1

⁄8" (28 mm) A4409

10513 1

⁄16" (30 mm) A4409

10514 1

⁄4" (32 mm) A4409

10515 1

⁄8" (35 mm) A4409

10516 1

⁄2" (38 mm) A4409

10523 1

⁄16" (40 mm) A4409

10524 1

⁄4" (45 mm) A4409

10525 2" (50 mm)

A4409

SenSura® Mio Click Convex Light Barrier

• Extended wear

• Belt tabs for use with 4237, 4247

• FlexShell is designed for stability and ﬂexibility

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Cut-to-ﬁt

16901

⁄8 -

⁄4" (10-20 mm) A4407

16911

⁄8 - 1

⁄16" (15-30 mm) A4407

16921

⁄8 - 1

⁄16" (15-40 mm) A4407

16931

⁄8 - 2

⁄16" (15-53 mm) A4408

Pre-cut

16903

⁄16" (18 mm) A4407

16913

⁄16" (21 mm) A4407

16914 1" (25 mm)

A4407

16915 1

⁄8 " (28 mm) A4407

16923 1

⁄4 " (31 mm) A4407

16924 1

⁄8" (35 mm) A4407

16933 1

⁄2" (38 mm) A4408

16934 1

⁄8" (41 mm) A4408

NOTE: SenSura® Mio Click is NOT compatible with SenSura® Click or

Assura® systems.

Indicates convexity

www.coloplast.us 1-800-533-046422

2-Piece SenSura® Mio Click

SenSura® Mio Click Deep Convex Barrier

• Extended wear

• Belt tabs for use with 4237, 4247

• FlexShell is designed for stability and ﬂexibility

• Not made with natural rubber latex

Units: 5

Code Stoma Size

Color

HCPCS*

Cut-to-ﬁt

16941

⁄8 -

⁄4" (10-20 mm) A4407

16951

⁄8 - 1

⁄16" (15-30 mm) A4407

16961

⁄8 - 1

⁄16" (15-40 mm) A4407

16971

⁄8 - 2

⁄16" (15-53 mm) A4408

Pre-cut

16942

⁄16" (18 mm) A4407

16953

⁄16" (21 mm) A4407

16954 1" (25 mm)

A4407

16955 1

⁄8 " (28 mm) A4407

16963 1

⁄4" (31 mm)

A4407

16964 1

⁄8" (35 mm) A4407

16973 1

⁄2" (38 mm) A4408

16974 1

⁄8" (41 mm) A4408

SenSura® Mio Click Convex Flip Barrier

• Extended wear

• Designed for curves, bulges and hernias

• Curved, star-shaped barrier conforms to

outward areas with less creasing and folding

• “Flip to ﬁt” design allows for easy application

• Belt tabs for use with 4237, 4247

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Cut-to-ﬁt

18500

/8 - 1

/8’’ (10-35 mm) A4407

18510

/8 - 1¾” (10-45 mm) A4408

18520

/8 - 2

/8” (10-55 mm) A4408

18530

/8 - 2

/16” (10-66 mm) A4408

Code Stoma Size Max Cut Color HCPCS*

Pre-cut

18501 ¾" (20 mm) 1

/8’’ (35 mm) A4407

18511 1” (25 mm) 1¾” (45 mm)

A4407

18512 1

/16” (30 mm) 1¾” (45 mm) A4407

18513 1

/8” (35 mm) 1¾” (45 mm) A4407

18521 1

/16” (30 mm) 2

/8” (55mm) A4407

18522 1

/8” (35 mm) 2

/8” (55 mm) A4407

18523 1

/16” (40 mm) 2

/8” (55 mm) A4407

18524 1 ¾” (45 mm) 2

/8” (55 mm) A4407

18531 1 ¾” (45 mm) 2

/16” (66 mm) A4408

18532 2” (50 mm) 2

/16” (66 mm) A4408

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

2-Piece SenSura® Mio Click

SenSura® Mio Click MAXI Drainable Pouch

• EasiClose™ WIDE Outlet

• Full-circle ﬁlter

• Neutral gray, water-resistant textile

• Opaque pouches feature peek-a-boo inspection

window for easy application

• Not made with natural rubber latex

11" (28 cm) / 655 mL Units: 10

Code Code Color HCPCS*

Transparent Opaque

11463 11462

A4427

11473 11472

A4427

11483 11482

A4427

11487 11486

A4427

SenSura® Mio Click MAXI Drainable Pouch

• EasiClose™ WIDE Outlet

• Without ﬁlter

• Neutral gray, water-resistant textile

• Not made with natural rubber latex

11" (28 cm) / 655 mL Units: 10

Code Color HCPCS*

Transparent

11474

A4426

11484

A4426

11488

A4426

SenSura® Mio Click MIDI Drainable Pouch

• EasiClose™ WIDE Outlet

• Full-circle ﬁlter

• Neutral gray, water-resistant textile

• Peek-a-boo inspection window for easy application

• Not made with natural rubber latex

⁄44" (26 cm) / 485 mL Units: 10

Code Color HCPCS*

Opaque

11461

A4427

11471

A4427

NOTE: SenSura® Mio Click is NOT compatible with SenSura® Click or

Assura® systems.

Indicates Convex Flip

Indicates convexity

www.coloplast.us 1-800-533-046424

SenSura® Mio Click High Output Pouch

with Tap Outlet

• Special full-circle ﬁlter designed speciﬁcally

for ileostomy output

• Neutral gray, water-resistant textile

• Transparent pouches feature a printed scale

for visual indication of output volume

• Opaque pouches feature a peek-a-boo inspection window and tuck-

away option to keep the outlet from rubbing on the wearer's leg

• Wider-lumen outlet provides effective drainage for patients with

thicker output; connects to Coloplast ﬁstula drain bag #14010

• Not made with natural rubber latex

12½" (32 cm) / 1080 mL Units: 10

Code Code Color HCPCS*

Transparent Opaque

18610 18600

A4413

18611 18601

A4413

18612 18602

A4413

18613 18603

A4413

SenSura® Mio Click High Output Pouch

with Soft Outlet

• Special full-circle ﬁlter designed speciﬁcally

for ileostomy output

• Neutral gray, water-resistant textile

• Transparent pouches feature a printed scale

for visual indication of output volume

• Opaque pouches feature a peek-a-boo

inspection window and tuck-away option to keep the outlet from

rubbing on the wearer's leg

• Soft outlet provides effective drainage; connects to a standard drain

bag or Coloplast ﬁstula drain bag #14010

• Not made with natural rubber latex

12 ½" (32 cm) / 1080 mL Units: 10

Code Code Color HCPCS*

Transparent Opaque

18640 18630

A4413

18641 18631

A4413

18642 18632

A4413

2-Piece SenSura® Mio Click

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

2-Piece SenSura® Mio Click

SenSura® Mio Click Drainable Pouch

with Tap Outlet

• Special full-circle ﬁlter designed speciﬁcally for

ileostomy output

• Neutral gray, water-resistant textile

• Opaque pouches feature a peek-a-boo inspection

window and tuck-away option to keep the outlet from

rubbing on the wearer's leg

• Wider-lumen outlet provides effective drainage for patients with

thicker output; connects to Coloplast ﬁstula drain bag #14010

• Not made with natural rubber latex

9" (23 cm) / 650 mL Units: 10

Code Color HCPCS*

Opaque

18620

A4427

18621

A4427

18622

A4427

SenSura® Mio Click MAXI Closed Pouch

• Full-circle ﬁlter

• Neutral gray, water-resistant textile

• Opaque pouches feature peek-a-boo inspection

window for easy application

• Not made with natural rubber latex

⁄44" (20½ cm) / 570 mL Units: 30

Code Code Color HCPCS*

Transparent Opaque

N/A 11402

A4423

N/A 11413

A4423

N/A 11422

A4423

11426 11425

A4423

SenSura® Mio Click MIDI Closed Pouch

• Full-circle ﬁlter

• Neutral gray, water-resistant textile

• Peek-a-boo inspection window for easy application

• Not made with natural rubber latex

⁄44" (18½ cm) / 275 mL Units: 30

Code Color HCPCS*

Opaque

11401

A4423

11412

A4423

11421

A4423

2-Piece SenSura

Mio Click

www�coloplast�us 1-800-533-046426

Urostomy

SenSura® Mio Uro

Wide anti-reﬂux valves support varying

ways of managing stents:

• Stents threaded into a pouch

connected to a night drainage bag

• Rolling the stents in the top of the

pouch, making a loop

• Stents that have been cut

Wide anti-reﬂux

valves

Welded “multi-chambers"

minimize ballooning

SenSura® Mio Click MAXI Urostomy Pouch

• Multi-chambers minimize sloshing

• Wider anti-reﬂux valves prevent urine from

washing over the stoma

• Soft outlet can be connected to urostomy

night bag #21365 or any standard night bag

• Neutral gray, water-resistant textile

• Not made with natural rubber latex

10½" (26½ cm) / 480 mL Units: 10

Code Code Color HCPCS*

Transparent Opaque

11492 11491

A4433

11498 11497

A4433

11500 11499

A4433

2-Piece SenSura

Click

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

NOTE: SenSura® Mio Click is NOT compatible with SenSura® Click or

Assura® systems. SenSura® Click and Assura® are compatible.

SenSura® Click Flat Barrier

• Standard wear

• Belt tabs for use with 4215, 4220

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Cut-to-ﬁt

10011

⁄8 - 1

⁄8" (10-35 mm) A4414

10021

⁄8 - 1

⁄4" (10-45 mm) A4414

10031

⁄8

- 2

⁄8" (10-55 mm) A4414

10041

⁄8 - 2

⁄2" (10-65 mm) A4415**

Pre-cut

10012

⁄16" (20 mm) A4414

10013 1" (25 mm) A4414

10022 1

⁄16" (30 mm) A4414

10023 1

⁄8" (35 mm) A4414

10032 1

⁄16" (40 mm) A4414

SenSura® Click Xpro Flat Barrier

• Extended wear

• Belt tabs

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Cut-to-ﬁt

10015

⁄8 - 1

⁄8" (10-35 mm) A4409

10025

⁄8 - 1

⁄4" (10-45 mm) A4409

10035

⁄8 - 2

⁄4" (10-55 mm) A4409

10045

⁄8 - 2

⁄2" (10-65 mm) A4410

Pre-cut

10016

⁄16" (20 mm) A4409

10017 1" (25 mm) A4409

10026 1

⁄16" (30 mm) A4409

10027 1

⁄8" (35 mm) A4409

10036 1

⁄16" (40 mm) A4409

**Product has not been through PDAC veriﬁcation

2-Piece SenSura

Click

www�coloplast�us 1-800-533-0464

SenSura® Click Convex Light Barrier

• Standard wear

• Belt tabs

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Cut-to-ﬁt

11011

⁄8 -

⁄8" (15-22 mm) A4373

11021

⁄8 - 1

⁄16" (15-33 mm) A4373

11031

⁄8 - 1

⁄16" (15-43 mm) A4373

11041

⁄8 - 2

⁄16" (15-53 mm) A4373**

Pre-cut

11012

⁄8" (22 mm) A4373

11022 1" (25 mm) A4373

11023 1

⁄8" (28 mm) A4373

11024 1

⁄4" (31 mm) A4373

11032 1

⁄8" (35 mm) A4373

SenSura® Click Xpro Convex Light Barrier

• Extended wear

• Belt tabs

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Cut-to-ﬁt

11015

⁄8 -

⁄8" (15-22 mm) A4407

11025

⁄8 - 1

⁄16" (15-33 mm) A4407

11035

⁄8 - 1

⁄16" (15-43 mm) A4407

11045

⁄8 - 2

⁄16" (15-53 mm) A4408

Pre-cut

11016

⁄8" (22 mm) A4407

11026 1" (25 mm)

A4407

11027 1

⁄8" (28 mm) A4407

11028 1

⁄4" (31 mm) A4407

11036 1

⁄8" (35 mm) A4407

For Assura® CONVEX barriers, see pages 33-34.

Indicates convexity

2-Piece SenSura

Click

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

SenSura® Click MAXI Drainable Pouch

• EasiClose

™

WIDE Outlet

• Filter

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

⁄22" (29

⁄22 cm) / 655 mL Units: 20

Code Code Color HCPCS*

Transparent Opaque

11194 11124

A4427

11195 11125

A4427

11196 11126

A4427

11197 11127

A4427**

SenSura® Click MIDI Drainable Pouch

• EasiClose

™

WIDE Outlet

• Filter

• Soft cloth on front and back

• Not made with natural rubber latex

⁄22" (26

⁄22 cm) / 485 mL Units: 20

Code Color HCPCS*

Opaque

11114

A4427

11115

A4427

SenSura® Click MAXI Drainable Pouch

• EasiClose

™

WIDE Outlet

• Without ﬁlter

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

⁄22" (29

⁄22 cm) / 655 mL Units: 20

Code Code Color HCPCS*

Transparent Opaque

11185 11135

A4426

11186 11136

A4426

**Product has not been through PDAC veriﬁcation

www�coloplast�us 1-800-533-046430

2-Piece SenSura® Click

NOTE: SenSura® Click is compatible with Assura®

but NOT with

SenSura® Mio Click.

SenSura® Click Magnum High Output

Drainable Pouch

• Wider-lumen outlet provides effective drainage for

patients with thicker output; connects to Coloplast

ﬁstula drain bag #14010

• Filter

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

⁄22" (32 cm) / 1160 mL Units: 10

Code Code Color HCPCS*

Transparent Opaque

19050 19040 A4413**

19051 19041

A4413**

19052 19042

A4413**

For Assura® Ileo Night Bag, see page 38�

SenSura® Click MAXI Closed Pouch

• Filter

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

⁄22" (21 cm) / 570 mL Units: 30

Code Code Color HCPCS*

Transparent Opaque

NA 10164

A4423

NA 10165

A4423

NA 10166

A4423

10187 10167

A4423**

SenSura® Click MIDI Closed Pouch

• Filter

• Soft cloth on front and back

• Not made with natural rubber latex

7" (18 cm) / 275 mL Units: 30

Code Color HCPCS*

Opaque

10154

A4423

10155

A4423

10156

A4423

For Assura® stoma caps, see page 39�

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

2-Piece SenSura® Click

Urostomy

SenSura® Click Uro MAXI Urostomy Pouch

• Multi-chambers minimize sloshing

• Wider anti-reﬂux valves prevent urine from

washing over the stoma

• Soft outlet can be connected to urostomy

night bag #21365 or any standard night bag

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

⁄88" (26 cm) / 480 mL Units: 10

Code Code Color HCPCS*

Transparent Opaque

11854 11844

A4433

11855 11845

A4433

11856 11846

A4433

SenSura® Click Uro MIDI Urostomy Pouch

• Multi-chambers minimize sloshing

• Wider anti-reﬂux valves prevent urine from

washing over the stoma

• Soft outlet can be connected to urostomy

night bag #21365 or any standard night bag

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

⁄22" (24 cm) / 430 mL Units: 10

Code Code Color HCPCS*

Transparent Opaque

11851 11841

A4433

For Assura® urostomy micro-pouches and minicaps, see page 39�

Urostomy Night Bag and Bag Hanger

See Accessories page 16 for more information.

NOTE: Assura® is compatible with SenSura® Click , but NOT with

SenSura® Mio Click.

**Product has not been through PDAC veriﬁcation

www�coloplast�us 1-800-533-046432

2-Piece Assura

Assura® Flat Barrier

• Standard wear

• Belt tabs for use with 4215, 4220

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Cut-to-ﬁt

2881

⁄8 - 1

⁄8" (10-35 mm) A4414

2882

⁄8 - 1

⁄4" (10-45 mm) A4414

2883

⁄8 - 2

⁄4" (10-55 mm) A4414

Pre-cut

12841

⁄16" (20 mm) A4414

12842 1" (25 mm)

A4414

12844 1

⁄16" (30 mm) A4414

12845 1

⁄8" (35 mm) A4414

12847 1

⁄16" (40 mm) A4414

12848 1

⁄4" (45 mm) A4414

Assura® Flat Barrier

• Extended wear

• Belt tabs for use with 4215, 4220

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Cut-to-ﬁt

2831

⁄8 - 1

⁄8" (10-35 mm) A4409

2832

⁄8 - 1

⁄4" (10-45 mm) A4409

2833

⁄8 - 2

⁄4" (10-55 mm) A4409

Pre-cut

14250

⁄8" (15 mm) A4409

14251

⁄16" (20 mm) A4409

14252 1" (25 mm) A4409

14254 1

⁄16" (30 mm) A4409

14255 1

⁄8" (35 mm) A4409

14257 1

⁄16" (40 mm) A4409

14258 1

⁄4" (45 mm) A4409

NOTE: Assura® is compatible with SenSura® Click, but NOT with

SenSura® Mio Click.

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

2-Piece Assura

Assura® Convex Light Barrier

• Standard wear

• Belt tabs for use with 4215, 4220

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Cut-to-ﬁt

14261

/8 -

/16" (15-23 mm) A4373

14262

/8 - 1

/16" (15-33 mm) A4373

14263

/8 - 1

/16" (15-43 mm) A4373

Pre-cut

14271

⁄4" (18 mm) A4373

14272

/8" (22 mm) A4373

14273 1" (25 mm)

A4373

14274 1

/8" (28 mm) A4373

14275 1

⁄4" (31 mm) A4373

14276 1

⁄8" (35 mm) A4373

14277 1

⁄2" (38 mm) A4373

14278 1

/8" (41 mm) A4373

Assura® Convex Light Barrier

• Extended wear

• Belt tabs for use with 4215, 4220

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Cut-to-ﬁt

14281

/8 -

/16" (15-23 mm) A4407

14282

/8 - 1

/16" (15-33 mm) A4407

14283

/8 - 1

⁄16" (15-43 mm) A4407

Pre-cut

14291

⁄4" (18 mm) A4407

14292

⁄8" (22 mm) A4407

14293 1" (25 mm)

A4407

14294 1

⁄8" (28 mm) A4407

14295 1

⁄4" (31 mm) A4407

14296 1

⁄8" (35 mm) A4407

14297 1

⁄2" (38 mm) A4407

14298 1

⁄8" (41 mm) A4407

Indicates convexity

www�coloplast�us 1-800-533-046434

2-Piece Assura

Assura® Deep Convex Barrier

• Standard wear

• Belt tabs for use with 4215, 4220

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Cut-to-ﬁt

12716

⁄8 - 1

⁄16" (15-33 mm) A4373

12719

⁄8 - 1

⁄16" (15-43 mm)

A4373

Pre-cut

12701

⁄8" (15 mm) A4373

12702

⁄4" (18 mm) A4373

12703

⁄8" (22 mm) A4373

12704 1" (25 mm) A4373

12705 1

⁄8" (28 mm) A4373

12706 1

⁄4" (31 mm) A4373

12707 1

⁄8" (35 mm) A4373

12708 1

⁄2" (38 mm) A4373

12709 1

⁄8" (41 mm) A4373

Assura® Deep Convex Barrier

• Extended wear

• Belt tabs for use with 4215, 4220

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Cut-to-ﬁt

14243

/8 -

/16" (15-23 mm) A4407

14246

/8 - 1

/16" (15-33 mm) A4407

14249

/8 - 1

/16" (15-43 mm) A4407

Pre-cut

14232

⁄4" (18 mm) A4407

14233

/8" (22 mm) A4407

14234 1" (25 mm)

A4407

14235 1

/8" (28 mm) A4407

14236 1

⁄4" (31 mm) A4407

14237 1

⁄8" (35 mm) A4407

14238 1

⁄2" (38 mm) A4407

14239 1

/8" (41 mm) A4407

Indicates convexity

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

2-Piece Assura

NOTE: Assura® is compatible with SenSura® Click, but NOT with

SenSura® Mio Click.

Assura® MAXI Drainable Pouch

• EasiClose

™

WIDE Outlet

• Filter

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

⁄22" (29

⁄22 cm) / 655 mL Units: 10

Code Color HCPCS*

Transparent Opaque

15974 15984

A4427

15975 15985

A4427

15976 15986

A4427

Assura® MAXI Drainable Pouch

• EasiClose

™

WIDE Outlet

• Without ﬁlter

• Soft cloth on front and back

• Not made with natural rubber latex

⁄22" (29

⁄22 cm) / 655 mL Units: 10

Code Color HCPCS*

Opaque

15982

A4426

15983

A4426

Assura® MIDI Drainable Pouch

• EasiClose

™

WIDE Outlet

• Filter

• Soft cloth on front and back

• Not made with natural rubber latex

⁄22" (26

⁄22 cm) / 485 mL Units: 10

Code Color HCPCS*

Opaque

15954

A4427

15955

A4427

15956

A4427

www.coloplast.us 1-800-533-046436

2-Piece Assura

NOTE: Assura® is compatible with SenSura® Click, but NOT with

SenSura® Mio Click.

Assura® MAXI Drainable Pouch

• EasiClose

™

Outlet

• Filter

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

⁄22" (29

⁄22 cm) / 655 mL Units: 10

Code Code Color HCPCS*

Transparent Opaque

13974 13984

A4427

13975 13985

A4427

13976 13986

A4427

Assura® MIDI Drainable Pouch

• EasiClose

™

Outlet

• Filter

• Soft cloth on front and back

• Graphic pattern

• Not made with natural rubber latex

⁄22" (26

⁄22 cm) / 485 mL Units: 10

Code Color HCPCS*

Opaque

13964

A4427

13965

A4427

13966 A4427

Assura® MINI Drainable Pouch

• EasiClose

™

Outlet

• Filter

• Soft cloth on front and back

• Not made with natural rubber latex

⁄44" (23

⁄22 cm) / 280 mL Units: 10

Code Color HCPCS*

Opaque

13924

A4427

13925

A4427

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

2-Piece Assura

NOTE: Assura® is compatible with SenSura® Click, but NOT with

SenSura® Mio Click.

Assura® MAXI Drainable Pouch

• Clamp closure

• Without ﬁlter

• Soft cloth on front and back

• Not made with natural rubber latex

⁄44" (28

⁄22 cm) / 760 mL Units: 10

Code Color HCPCS*

Opaque

12577

A4426

12578

A4426

12579

A4426

Assura® MIDI Drainable Pouch

• Clamp closure

• Without ﬁlter

• Soft cloth on front and back

• Not made with natural rubber latex

⁄44" (24

⁄22 cm) / 400 mL Units: 10

Code Color HCPCS*

Opaque

12527

A4426

12528

A4426

12529

A4426

Assura® High Output Drainable Pouch

• Soft outlet can connect to Coloplast’s ﬁstula

drain bag #14010, or a drain bag with a

standard connection

• Filter

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

⁄22" (32 cm) / 750 mL Units: 10

Code Code Color HCPCS*

Transparent Opaque

8114 NA

A4413

8115 2846

A4413

8116 2847

A4413

For bed drainage bag and bag hanger, see page 16�

www.coloplast.us 1-800-533-046438

2-Piece Assura

Assura® Ileo Night Bag

• 2 liter capacity for very high output stomas

• Clamp closure

• Comes with bag hanger

• Filter

• Not made with natural rubber latex

2 L Units: 5

Code Color HCPCS*

Opaque

2836

A4413

2837

A4413

Assura® MAXI Closed Pouch

• Filter

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

⁄22" (21 cm) / 570 mL Units: 30

Code Code Color HCPCS*

Transparent Opaque

12374 12384

A4423

12375 12385

A4423

12376 12386

A4423

Assura® MIDI Closed Pouch

• Filter

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

7" (18 cm) / 275 mL Units: 30

Code Code Color HCPCS*

Transparent Opaque

12344 12354

A4423

12345 12355

A4423

12346 12356

A4423

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

2-Piece Assura

NOTE: Assura® is compatible with SenSura® Click, but NOT with

SenSura® Mio Click.

Ileostomy / Colostomy

Assura® Stoma Cap

• Filter

• Small size is optimal for intimate moments or

colostomates who irrigate

• Not made with natural rubber latex

Units: 30

Code Color HCPCS*

Opaque

2801

A5055

2802

A5055

2803

A5055**

Urostomy

Assura® Urostomy Micro-Pouch

• Miniature size prevents twisting

• Soft outlet can be connected to a drain bag for

nighttime use, or a leg bag for patients in a

wheelchair

• Soft cloth on front

• Not made with natural rubber latex

6" (15

cm) Units: 10

Code Color HCPCS*

Transparent

14204

A4433

14205 A4433

14206

A4433

For nighttime, use a urostomy night bag found on page 15�

Assura® Urostomy Minicap

• Ultra-absorbent material inside

• Small size is optimal for intimate use

• Not made with natural rubber latex

100 mL Units: 30

Code Color HCPCS*

Opaque

2807

A5055

2808

A5055

**Product has not been through PDAC veriﬁcation

www.coloplast.us 1-800-533-046440

2-Piece Assura

NOTE: Assura® is compatible with SenSura® Click, but NOT with

SenSura® Mio Click.

Assura® MAXI Urostomy Pouch

• Multi-chambers minimize sloshing

• Soft outlet can be connected to urostomy

night bag #21365 or any standard night bag

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

⁄22" (26

⁄22 cm) / 488 mL Units: 10

Code Code Color HCPCS*

Transparent Opaque

14227 14224

A4433

14228 14225

A4433

14229 14226 A4433

Assura® MAXI Urostomy Pouch

• Soft outlet can be connected to urostomy

night bag #21365 or any standard night bag

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

⁄44" (27

⁄44 cm) / 375 mL Units: 10

Code Code Color HCPCS*

Transparent Opaque

1757 1754

A4433

1758 1755

A4433

1759 1756

A4433

Assura® MIDI Urostomy Pouch

• Soft outlet can be connected to urostomy

night bag #21365 or any standard night bag

• Soft cloth on back

• Not made with natural rubber latex

⁄22" (24 cm) / 150 mL Units: 10

Code Color HCPCS*

Transparent

1751

A4433

1752

A4433

Urostomy Night Bag and Bag Hanger

See Accessories page 16 for more information.

2-piece Flex

(Adhesive coupling)

Flexible system bends with

body movements

The low proﬁle of a 1-piece –

the convenience of a 2-piece

Floating ﬂange = minimal

pressure to apply

Built-in security channel +

strong adhesive = strong

leakage reduction

2-Piece Flex

SenSura

Mio Flex

The BodyFit Technology in all SenSura Mio

barriers combines an elastic adhesive, that

bends and stretches with the body, with

an innovative barrier designed to provide a

secure and comfortable ﬁt.

The ﬁt is

the difference

between staying in

and working out

Deirdre is a SenSura® Mio user.

2-Piece Flex

Ostomy Care

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

2-Piece SenSura® Mio Flex

NOTE: SenSura® Mio Flex and SenSura® Flex are compatible with

one another

SenSura® Mio Flex Flat Barrier

• Extended wear

• Not made with natural rubber latex

Units: 5

18390 - 10 units

Code Stoma Size Color HCPCS*

Cut-to-ﬁt

10551

⁄8 - 1

⁄16" (10-33 mm) A4409

10561

⁄8 - 1

⁄8" (10-48 mm) A4410

10571

⁄8 - 2

⁄16" (10-68 mm) A4410

18390

⁄8 - 3

⁄2" (10-88mm) A4410

Pre-cut

10562 1" (25 mm) A4409

10566 1

⁄8" (28 mm) A4409

10563 1

⁄16" (30 mm) A4409

10567 1¼" (32 mm)

A4409

10564 1

⁄8" (35 mm) A4409

10568 1

⁄2" (38 mm) A4409

10565 1

⁄16" (40 mm) A4409

10572 1

⁄4" (45 mm) A4410

10573 2" (50 mm)

A4410

SenSura® Mio Flex Convex Light Barrier

• Extended wear

• Belt tabs for use with 4237, 4247

• FlexShell is designed for stability and ﬂexibility

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Cut-to-ﬁt

16471

⁄8 -

⁄4" (10-20 mm) A4407

16481

⁄8 - 1

⁄16" (15-30 mm) A4407

16483

⁄8 - 1

⁄16" (15-40 mm) A4407

16491

⁄8 - 2

⁄16" (15-53 mm) A4408

Pre-cut

16472

⁄16" (18 mm) A4407

16484

⁄16" (21 mm) A4407

16485 1" (25 mm)

A4407

16486 1

⁄8" (28 mm) A4407

16487 1

⁄4" (31 mm) A4407

16488 1

⁄8" (35 mm) A4407

16493 1

⁄2" (38 mm) A4408

16494 1

⁄8" (41 mm) A4408

Indicates convexity

2-Piece SenSura® Mio Flex

44 www�coloplast�us 1-800-533-0464

NOTE: SenSura® Mio pouches are compatible with SenSura Xpro

extended wear barriers

SenSura® Mio Flex MAXI Drainable Pouch

• EasiClose™ WIDE Outlet

• Full-circle ﬁlter

• Neutral gray, water-resistant textile

• Opaque pouches feature peek-a-boo inspection

window for easy application

• Not made with natural rubber latex

11" (28 cm) / 655 mL Units: 10

Code Code Color HCPCS*

Transparent Opaque

NA 12262

A4425

12273 12272

A4425

12283 12282

A4425

18389 NA

A4425

SenSura® Mio Flex MAXI Drainable Pouch

• EasiClose™ WIDE Outlet

• Without ﬁlter

• Neutral gray, water-resistant textile

• Not made with natural rubber latex

11" (28 cm) / 655 mL Units: 10

Code Color HCPCS*

Transparent

12274

A5063

12284

A5063

SenSura® Mio Flex MIDI Drainable Pouch

• EasiClose™ WIDE Outlet

• Full-circle ﬁlter

• Neutral gray, water-resistant textile

• Peek-a-boo inspection window for easy application

• Not made with natural rubber latex

⁄44" (26 cm) / 485 mL Units: 10

Code Color HCPCS*

Opaque

12281

A4425

2-Piece SenSura® Mio Flex

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

SenSura® Mio Flex High Output

Pouch with Tap Outlet

• Special full-circle ﬁlter designed speciﬁcally

for ileostomy output

• Transparent pouches feature a printed scale for visual

indication of output volume

• Opaque pouches feature a peek-a-boo inspection

window and tuck-away option to keep the outlet from

rubbing on the wearer's leg

• Wider-lumen outlet provides effective drainage for patients with

thicker output; connects to Coloplast ﬁstula drain bag #14010

• Not made with natural rubber latex

12½" (32 cm) / 1080 mL Units: 10

Code Code Color HCPCS*

Transparent Opaque

18655 18650

A4413

18656 18651

A4413

SenSura® Mio Flex High Output

Pouch with Soft Outlet

• Special full-circle ﬁlter designed speciﬁcally

for ileostomy output

• Transparent pouches feature a printed scale for visual

indication of output volume

• Opaque pouches feature a peek-a-boo inspection

window and tuck-away option to keep the outlet from

rubbing on the wearer's leg

• Wider-lumen outlet provides effective drainage for patients with

thicker output; connects to Coloplast ﬁstula drain bag #14010

• Not made with natural rubber latex

12½" (32 cm) / 1080 mL Units: 10

Code Code Color HCPCS*

Transparent Opaque

18657 18652

A4413

18658 18653

A4413

2-Piece SenSura® Mio Flex

46 www�coloplast�us 1-800-533-0464

NOTE: SenSura® Mio Flex and SenSura® Flex are compatible with

one another

SenSura® Mio Flex MAXI Closed Pouch

• Full-circle ﬁlter

• Neutral gray, water-resistant textile

• Opaque pouches feature peek-a-boo inspection

window for easy application

• Not made with natural rubber latex

⁄44" (20½ cm) / 570 mL Units: 30

Code Code Color HCPCS*

Transparent Opaque

12203 12202

A4419

12216 12213

A4419

12223 12222

A4419

SenSura® Mio Flex MAXI Urostomy Pouch

• Multi-chambers minimize sloshing

• Anti-reﬂux valves prevent urine from washing

over the stoma

• Soft outlet can be connected to urostomy night

bag #21365 or any standard night bag

• Neutral gray, water-resistant textile

• Not made with natural rubber latex

⁄22" (27 cm) / 400 mL Units: 10

Code Code Color HCPCS

Transparent Opaque

12292 12291

A5073**

12298 12297

A5073**

SenSura® Mio Flex MIDI Urostomy Pouch

• Multi-chambers minimize sloshing

• Anti-reﬂux valves prevent urine from washing

over the stoma

• Soft outlet can be connected to urostomy

night bag #21365 or any standard night bag

• Neutral gray, water-resistant textile

• Not made with natural rubber latex

9½" (24 cm) / 330 mL Units: 10

Code Color HCPCS*

Opaque

12296

A5073**

2-Piece SenSura® Flex

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

NOTE: SenSura® Mio Flex and SenSura® Flex are compatible with

one another

SenSura® Flex Flat Barrier

• Standard wear

• Not made with natural rubber latex

Units: 10

10108 - 5 units

Code Stoma Size Color HCPCS*

Cut-to-ﬁt

10101

⁄8 - 1

⁄16" (10-33 mm) A4414

10102

⁄8 - 1

⁄8" (10-48 mm) A4414

10103

⁄8 - 2

⁄4" (10-68 mm) A4415

10108

⁄8 - 3

⁄2" (10-88 mm) A4415

SenSura® Flex Xpro Flat Barrier

• Extended wear

• Compatible with SenSura Mio pouches

• Not made with natural rubber latex

Units: 10

Code Stoma Size Color HCPCS*

Cut-to-ﬁt

10104

⁄8 - 1

⁄16" (10-33 mm) A4409

10105

⁄8 - 1

⁄8" (10-48 mm) A4409

10106

⁄8 - 2

⁄4" (10-68 mm) A4410

SenSura® Flex Convex Light Barrier

• Standard wear

• Belt tabs for use with 4215, 4220

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Cut-to-ﬁt

11301

⁄8 -

⁄16" (15-23 mm) A4373

11302

⁄8 - 1

⁄16" (15-33 mm) A4373

11303

⁄8 - 1

⁄16" (15-43 mm) A4373

11307

⁄8 - 2

⁄16" (15-53 mm) A4373

Indicates convexity

**Product has not been through PDAC veriﬁcation

2-Piece SenSura® Flex

48 www�coloplast�us 1-800-533-0464

SenSura® Flex Convex Light Barrier

• Standard wear

• Belt tabs for use with 4215, 4220

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Pre-cut

11312

⁄8" (22 mm) A4373

11313 1" (25 mm)

A4373

11314 1

⁄8" (28 mm) A4373

11315 1

⁄4" (31 mm) A4373

SenSura® Flex Xpro Convex Light Barrier

• Extended wear

• Compatible with SenSura Mio pouches

• Belt tabs for use with 4215, 4220

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Cut-to-ﬁt

11304

⁄8 -

⁄16" (15-23 mm) A4407

11305

⁄8 - 1

⁄16" (15-33 mm) A4407

11306

⁄8 - 1

⁄16" (15-43 mm) A4407

11308

⁄8 - 2

⁄16" (15-53 mm) A4408

SenSura® Flex MAXI Drainable Pouch

• EasiClose

™

WIDE Outlet

• Filter

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

⁄22" (29

⁄22 cm) / 655 mL Units: 20

Code Code Color HCPCS*

Transparent Opaque

NA 11514

A4425

11512 11515

A4425

11517 11518

A4425

11½" (29½cm) / 750 mL XXL pouch

11590 11591

A4425

Indicates convexity

2-Piece SenSura® Flex

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

NOTE: SenSura® Mio Flex and SenSura® Flex are compatible with

one another

SenSura® Flex MAXI Drainable Pouch

• EasiClose

™

WIDE Outlet

• Without ﬁlter

• Soft cloth on back

• Not made with natural rubber latex

⁄22" (29½ cm) / 655 mL Units: 20

Code Color HCPCS*

Transparent

11612 A5063

11½" (29½cm) / 750 mL XXL pouch

11690 A5063

SenSura® Flex MAXI Closed Pouch

• Filter

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

⁄22" (21 cm) / 570 mL Units: 30

Code Code Color HCPCS*

Transparent Opaque

10911 10914

A4419

10912 10915

A4419

10917 10918

A4419

50 www�coloplast�us 1-800-533-0464

1-piece

The choice for ﬂexibility:

bends with body movements

No coupling = pouch and

barrier are welded together

and apply as one piece

Low-proﬁle

The ﬁt is

the difference

between asking for help

and doing it yourself

1-piece

Walton is a SenSura® Mio Convex Flip user and has

received compensation from Coloplast.

SenSura® Mio 1-piece

Pouching System

The BodyFit Technology in all SenSura Mio

barriers combines an elastic adhesive, that

bends and stretches with the body, with

an innovative barrier designed to provide a

secure and comfortable ﬁt.

1-Piece SenSura®

Mio

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

SenSura® Mio Flat MAXI Drainable Pouch

• Extended wear

• EasiClose

™

WIDE Outlet

• Full-circle ﬁlter

• Neutral gray, water-resistant textile

• Opaque pouches feature peek-a-boo inspection

window for easy application

• Not made with natural rubber latex

11" (28 cm) / 655 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

10481 10471 Cut-to-ﬁt

⁄8 - 2

⁄8" (10-55 mm) A5056

10482 10472 Pre-cut 1" (25 mm) A5056

10488 10473 Pre-cut 1

⁄8" (28 mm) A5056

10483 10474 Pre-cut 1

⁄16" (30 mm) A5056

10490 10475 Pre-cut 1

⁄4" (32 mm) A5056

10484 10476 Pre-cut 1

⁄8" (35 mm) A5056

10491 10480 Pre-cut 1

⁄2" (38 mm) A5056

10487 10479 Pre-cut 1

⁄16" (40 mm) A5056

10485 10477 Pre-cut 1

⁄4" (45 mm) A5056

10486 10478 Pre-cut 2" (50 mm) A5056

SenSura® Mio Flat MIDI Drainable Pouch

• Extended wear

• EasiClose

™

WIDE Outlet

• Full-circle ﬁlter

• Peek-a-boo inspection window allows

easy application

• Neutral gray, water-resistant textile

• Not made with natural rubber latex

Opaque 10

⁄44" (26 cm) / 485 mL Units: 10

Code Cut Stoma Size HCPCS*

10461 Cut-to-ﬁt

⁄8 - 1

⁄4" (10-45 mm) A5056

1-Piece SenSura® Mio

54 www�coloplast�us 1-800-533-0464

SenSura® Mio Flat MAXI Drainable Pouch

• Extended wear

• EasiClose

™

WIDE Outlet

• Without ﬁlter

• Neutral gray, water-resistant textile

• Not made with natural rubber latex

Transparent 11" (28 cm) / 655 mL Units: 10

Code Cut Stoma Size HCPCS*

10489 Cut-to-ﬁt

⁄8 - 2

⁄8" (10-55 mm) A4388

10492 Pre-cut 1" (25 mm) A4388

10493 Pre-cut 1

⁄8" (28 mm) A4388

10494 Pre-cut 1

⁄4" (32 mm) A4388

10495 Pre-cut 1

⁄8" (35 mm) A4388

10496 Pre-cut 1

⁄2" (38 mm) A4388

SenSura® Mio Soft Convex MAXI Drainable Pouch

• Extended wear

• Belt tabs for use with 4237, 4247

• EasiClose™ WIDE Outlet

• FlexShell is designed for stability and ﬂexibility

• Full-circle ﬁlter

• Neutral gray, water-resistant textile

• Opaque pouches feature peek-a-boo-inspection

window for easy application

• Not made with natural rubber latex

11" (28 cm) / 655 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

16715 16705 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-33 mm) A5057

16716 16706 Cut-to-ﬁt

⁄8 - 2" (10-50 mm) A5057

NA 13671 Pre-cut

⁄8" (21 mm) A5057

NA 13672 Pre-cut 1" (25 mm) A5057

NA 13673 Pre-cut 1

⁄8" (28 mm) A5057

NA 13674 Pre-cut 1

⁄4" (31 mm) A5057

NA 13675 Pre-cut 1

⁄8" (35 mm) A5057

NA 13676 Pre-cut 1

⁄2" (38 mm) A5057

Indicates convexity

1-Piece SenSura® Mio

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

SenSura® Mio Convex Light MAXI Drainable Pouch

• Extended wear

• Belt tabs for use with 4237, 4247

• EasiClose™ WIDE Outlet

• FlexShell is designed for stability and ﬂexibility

• Full-circle ﬁlter

• Neutral gray, water-resistant textile

• Opaque pouches feature peek-a-boo-inspection

window for easy application

• Not made with natural rubber latex

11" (28 cm) / 655 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

16737 16725 Cut-to-ﬁt

⁄8 -

⁄8" (10-22 mm) A5057

16738 16726 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-33 mm) A5057

16739 16733 Cut-to-ﬁt

⁄8 - 1

⁄16" (10-43 mm) A5057

16740 16730 Pre-cut

⁄16" (21 mm) A5057

16741 16731 Pre-cut 1" (25 mm) A5057

16742 16732 Pre-cut 1

⁄8" (28 mm) A5057

NA 16727 Pre-cut 1

⁄4" (31 mm) A5057

NA 16734 Pre-cut 1

⁄8" (35 mm) A5057

NA 16735 Pre-cut 1

⁄2" (38 mm) A5057

SenSura® Mio Convex Light MAXI Drainable Pouch

• Extended wear

• Belt tabs for use with 4237, 4247

• EasiClose™ WIDE Outlet

• FlexShell is designed for stability and ﬂexibility

• Without ﬁlter

• Neutral gray, water-resistant textile

• Opaque pouches feature peek-a-boo-inspection

window for easy application

• Not made with natural rubber latex

Transparent 11" (28 cm) / 655 mL Units: 10

Code Cut

Stoma Size

HCPCS*

16748 Cut-to-ﬁt

⁄8 - 1

⁄16" (10-43 mm)

A4390

Indicates convexity

www.coloplast.us 1-800-533-0464

1-Piece SenSura® Mio

SenSura® Mio Deep Convex MAXI Drainable Pouch

• Extended wear

• Belt tabs for use with 4237, 4247

• EasiClose™ WIDE Outlet

• FlexShell is designed for stability and ﬂexibility

• Full-circle ﬁlter

• Neutral gray, water-resistant textile

• Opaque pouches feature peek-a-boo-inspection

window for easy application

• Not made with natural rubber latex

11" (28cm) / 655 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

16765 16755 Cut-to-ﬁt

⁄8 -

⁄8" (10-22 mm) A5057

16766 16756 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-33 mm) A5057

16767 16768 Cut-to-ﬁt

⁄8 - 1

⁄16" (10-43 mm) A5057

16770 16760 Pre-cut

⁄16" (21 mm) A5057

16771 16761 Pre-cut 1" (25 mm) A5057

16772 16762 Pre-cut 1

⁄8" (28 mm) A5057

16773 16757 Pre-cut 1

⁄4" (31 mm) A5057

NA 16763 Pre-cut 1

⁄8" (35 mm) A5057

NA 16764 Pre-cut 1

⁄2" (38 mm) A5057

SenSura® Mio Deep Convex MAXI Drainable Pouch

• Extended wear

• Belt tabs for use with 4237, 4247

• EasiClose™ WIDE Outlet

• FlexShell is designed for stability and ﬂexibility

• Without ﬁlter

• Neutral gray, water-resistant textile

• Opaque pouches feature peek-a-boo-inspection

window for easy application

• Not made with natural rubber latex

Transparent 11" (28 cm) / 655 mL Units: 10

Code Cut Stoma Size HCPCS*

16778 Cut-to-ﬁt

⁄8 - 1

⁄16" (10-43 mm) A4390

Indicates convexity

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

SenSura® Mio MAXI Drainable Pouch

with Soft Outlet

• Extended wear

• Special full-circle ﬁlter designed speciﬁcally

for ileostomy output

• Transparent pouches feature a printed

scale for visual indication of output volume

• Opaque pouches feature a peek-a-boo

inspection window and tuck-away option

to keep the outlet from rubbing on the wearer's leg

• Soft outlet can connect to Coloplast’s ﬁstula drain bag #14010, or

most standard night bags

• Not made with natural rubber latex

11" (28 cm) / 630 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

18665 18660 Cut-to-ﬁt

⁄8 - 2 ¾" (10-70 mm) A5056

18666 18661 Cut-to-ﬁt

⁄8 - 4" (10-100 mm) A5056

SenSura® Mio Soft Convex MAXI

Drainable Pouch with Soft Outlet

• Extended wear

• Belt tabs for use with 4237, 4247

• Special full-circle ﬁlter designed speciﬁcally

for ileostomy output

• Transparent pouches feature a printed scale for visual

indication of output volume

• Opaque pouches feature a peek-a-boo inspection window and tuck-

away option to keep the outlet from rubbing on the wearer's leg

• Soft outlet can connect to Coloplast’s ﬁstula drain bag #14010, or

any standard night bag

• Not made with natural rubber latex

11" (28 cm) / 630 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

18671 18670 Cut-to-ﬁt

⁄8 - 2" (10-50 mm) A5057

SenSura® Mio Convex Light MAXI

Drainable Pouch with Soft Outlet

• Extended wear

• Belt tabs for use with 4237, 4247

• Special full-circle ﬁlter designed speciﬁcally

for ileostomy output

• Transparent pouches feature a printed

scale for visual indication of output volume

• Opaque pouches feature a peek-a-boo

inspection window and tuck-away option

to keep the outlet from rubbing on the wearer's leg

• Soft outlet can connect to Coloplast’s ﬁstula drain bag #14010, or

any standard night bag

• Not made with natural rubber latex

11" (28 cm) / 630 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

18676 18675 Cut-to-ﬁt

⁄8 - 1

⁄16" (10-43 mm) A5057

1-Piece SenSura® Mio

Indicates convexity

www�coloplast�us 1-800-533-0464

1-Piece SenSura® Mio

SenSura® Mio Convex Flip MAXI Drainable Pouch

• Extended wear

• Designed for curves, bulges and hernias

• Curved, star-shaped barrier conforms to outward

areas with less creasing and folding

• “Flip to ﬁt” design allows for easy application

• Opaque pouches feature a peek-a-boo inspection

window for easy application

• Full-circle ﬁlter

• Not made with natural rubber latex

11” (28 cm) / 655 mL Units: 10

Code Code Cut Stoma Size Max Cut HCPCS*

Transparent Opaque

18305 NA Cut-to-fit

⁄8 - 1

⁄16’’

(10-40 mm)

⁄16”

(40 mm)

A5057

18321 18312 Cut-to-ﬁt

⁄8 - 2”

(10-50 mm)

2”

(50 mm)

A5057

18341 18330 Cut-to-ﬁt

⁄8 - 2

⁄8”

(10-60 mm)

⁄8”

(60 mm)

A5057

NA 18301 Pre-cut

1”

(25 mm)

⁄16”

(40 mm)

A5057

NA 18302 Pre-cut

⁄16”

(30 mm)

⁄16”

(40 mm)

A5057

18322 18313 Pre-cut

1”

(25 mm)

2”

(50 mm)

A5057

18323 18314 Pre-cut

⁄16”

(30 mm)

2”

(50 mm)

A5057

18324 18315 Pre-cut

⁄8”

(35 mm)

2”

(50 mm)

A5057

18342 18331 Pre-cut

⁄16”

(40 mm)

⁄8”

(60 mm)

A5057

18343 18332 Pre-cut

1¾”

(45 mm)

⁄8”

(60 mm)

A5057

18344 18333 Pre-cut

2”

(50 mm)

⁄8”

(60 mm)

A5057

SenSura® Mio Convex Flip MAXI Drainable Pouch

• Extended wear

• Without ﬁlter

• Designed for curves, bulges and hernias

• Curved, star-shaped barrier conforms to outward

areas with less creasing and folding

• “Flip to ﬁt” design allows for easy application

• Not made with natural rubber latex

Transparent 11” (28 cm) / 655 mL Units: 10

Code Cut Stoma Size Max Cut HCPCS*

18320 Cut-to-fit

⁄8 - 2” (10-50 mm) 2” (50 mm) A4390

18340 Cut-to-ﬁt

⁄8 - 2

⁄8” (10–60 mm) 2

⁄8 ” (60 mm) A4390

Indicates Convex Flip

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

1-Piece SenSura® Mio

SenSura® Mio Flat MAXI Closed Pouch

• Full-circle ﬁlter

• Neutral gray, water-resistant textile

• Peek-a-boo inspection window allows

easy application

• Not made with natural rubber latex

Opaque 8¼" (21 cm) / 550 mL Units: 30

Code Cut Stoma Size HCPCS*

10881 Cut-to-ﬁt

⁄8 - 1

⁄4" (15-45 mm) A4416

10885*** Cut-to-ﬁt 1

⁄1 6 - 2

⁄8" (40-55 mm) A4416

10883 Pre-cut 1

⁄16" (30 mm) A4416

10884 Pre-cut 1

⁄8" (35 mm) A4416

10885*** Pre-cut 1

⁄16" (40 mm) A4416

*** Because of its larger starter hole, 10885 functions as both a pre-cut

and cut-to-ﬁt solution.

SenSura® Mio Flat MIDI Closed Pouch

• Full-circle ﬁlter

• Neutral gray, water-resistant textile

• Peek-a-boo inspection window allows

easy application

• Not made with natural rubber latex

Opaque 7¼" (19 cm) / 340 mL Units: 30

Code Cut Stoma Size HCPCS*

10871 Cut-to-ﬁt

⁄8 - 1

⁄4" (15-45 mm) A4416

10872 Pre-cut 1" (25 mm) A4416

10873 Pre-cut 1

⁄16" (30 mm) A4416

10874 Pre-cut 1

⁄8" (35 mm) A4416

SenSura® Mio MINI Closed Pouch

• Full-circle ﬁlter

• Neutral gray, water-resistant textile

• Peek-a-boo inspection window allows

easy application

• Comfortable and discreet stoma cap alternative

• Not made with natural rubber latex

Opaque 5¼" (13 cm) / 110 mL Units: 30

Code Cut Stoma Size HCPCS*

10870 Cut-to-ﬁt

⁄8 - 1

⁄4" (15-45 mm) A4416

1-Piece SenSura

Mio

60 www�coloplast�us 1-800-533-0464

SenSura® Mio Soft Convex MAXI Closed Pouch

• Belt tabs for use with 4237, 4247

• FlexShell is designed for stability and ﬂexibility

• Full-circle ﬁlter

• Neutral gray, water-resistant textile

• Opaque pouches feature peek-a-boo-inspection

window for easy application

• Not made with natural rubber latex

8¼" (21 cm) / 550 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

NA 16305 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-33 mm) A4417

16315 16306 Cut-to-ﬁt

⁄8 - 2" (10-50 mm) A4417

NA 16310 Pre-cut 1" (25 mm) A4417

NA 16311 Pre-cut 1

⁄8" (28 mm) A4417

NA 16312 Pre-cut 1

⁄4" (31 mm) A4417

NA 16313 Pre-cut 1

⁄8" (35 mm) A4417

SenSura® Mio Soft Convex MIDI Closed Pouch

• Belt tabs for use with 4237, 4247

• FlexShell is designed for stability and ﬂexibility

• Full-circle ﬁlter

• Neutral gray, water-resistant textile

• Opaque pouches feature peek-a-boo-inspection

window for easy application

• Not made with natural rubber latex

Opaque 7¼" (19 cm) / 340 mL Units: 10

Code Cut Stoma Size HCPCS*

16301 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-33 mm) A4417

SenSura® Mio Convex Light MAXI Closed Pouch

• Belt tabs for use with 4237, 4247

• FlexShell is designed for stability and ﬂexibility

• Full-circle ﬁlter

• Neutral gray, water-resistant textile

• Opaque pouches feature peek-a-boo-inspection

window for easy application

• Not made with natural rubber latex

8¼" (21 cm) / 550 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

NA 16325 Cut-to-ﬁt

⁄8 -

⁄8" (10-22 mm) A4417

16335 NA Cut-to-ﬁt

⁄8 - 1

⁄16" (10-43 mm) A4417

NA 16326 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-33 mm) A4417

NA 16330 Pre-cut 1" (25 mm) A4417

NA 16331 Pre-cut 1

⁄8" (28 mm) A4417

NA 16327 Pre-cut 1

⁄4" (31 mm) A4417

NA 16333 Pre-cut 1

⁄8" (35 mm) A4417

NA 16334 Pre-cut 1

⁄2" (38 mm) A4417

Indicates convexity

1-Piece SenSura® Mio

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

Indicates convexity

SenSura® Mio Convex Light MIDI Closed Pouch

• Belt tabs for use with 4237, 4247

• FlexShell is designed for stability and ﬂexibility

• Full-circle ﬁlter

• Neutral gray, water-resistant textile

• Opaque pouches feature peek-a-boo-inspection

window for easy application

• Not made with natural rubber latex

Opaque 7¼" (19 cm) / 340 mL Units: 10

Code Cut Stoma Size HCPCS*

16321 Cut-to-ﬁt

⁄8 -

⁄8" (10-22 mm) A4417

16322 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-33 mm) A4417

16323** Cut-to-ﬁt / Pre-cut 1

⁄4 - 1

⁄16" (31-43 mm) A4417

**Because of its larger starter hole, 16323 functions as both a pre-cut

and cut-to-ﬁt solution.

SenSura® Mio Deep Convex MAXI Closed Pouch

• Belt tabs for use with 4237, 4247

• FlexShell is designed for stability and ﬂexibility

• Full-circle ﬁlter

• Neutral gray, water-resistant textile

• Opaque pouches feature peek-a-boo-inspection

window for easy application

• Not made with natural rubber latex

8¼" (21 cm) / 550 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

NA 16345 Cut-to-ﬁt

⁄8 -

⁄8" (10-22 mm) A4417

16355 NA Cut-to-ﬁt

⁄8 - 1

⁄16" (10-43 mm) A4417

NA 16346 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-33 mm) A4417

NA 16350 Pre-cut 1" (25 mm) A4417

NA 16351 Pre-cut 1

⁄8" (28 mm) A4417

NA 16347 Pre-cut 1

⁄4" (31 mm) A4417

NA 16353 Pre-cut 1

⁄8" (35 mm) A4417

NA 16354 Pre-cut 1

⁄2" (38 mm) A4417

SenSura® Mio Deep Convex MIDI Closed Pouch

• Belt tabs for use with 4237, 4247

• FlexShell is designed for stability and ﬂexibility

• Full-circle ﬁlter

• Neutral gray, water-resistant textile

• Opaque pouches feature peek-a-boo-inspection

window for easy application

• Not made with natural rubber latex

Opaque 7¼" (19 cm) / 340 mL Units: 10

Code Cut Stoma Size HCPCS*

16341 Cut-to-ﬁt

⁄8 -

⁄8" (10-22 mm) A4417

16342 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-33 mm) A4417

16343** Cut-to-ﬁt / Pre-cut 1

⁄4 - 1

⁄16" (31-43 mm) A4417

** Because of its larger starter hole, 16343 functions as both a pre-cut

and cut-to-ﬁt solution.

1-Piece SenSura

Mio

62 www�coloplast�us 1-800-533-0464

SenSura® Mio Convex Flip MAXI Closed Pouch

• Designed for curves, bulges and hernias

• Curved, star-shaped barrier conforms to outward

areas with less creasing and folding

• “Flip to ﬁt” design allows for easy application

• Peek-a-boo inspection window for easy application

• Not made with natural rubber latex

Opaque 8¼” (21 cm) / 550 mL Units: 10

Code Cut Stoma Size Max Cut HCPCS*

18152 Cut-to-fit

⁄8 - 1

⁄16’’ (10-40 mm) 1

⁄16” (40 mm) A4417

18170 Cut-to-ﬁt

⁄8 - 2” (10-50 mm) 2” (50 mm) A4417

18171 Pre-cut 1” (25 mm) 2” (50 mm) A4417

18172 Pre-cut 1

⁄16” (30 mm) 2” (50 mm) A4417

18173 Pre-cut 1

⁄8” (35 mm) 2” (50 mm) A4417

18180 Cut-to-ﬁt

⁄8 - 2

⁄8” (10-60 mm) 2

⁄8” (60 mm) A4417

18181 Pre-cut 1

⁄16” (40 mm) 2

⁄8” (60 mm) A4417

18182 Pre-cut 1¾” (45 mm) 2

⁄8” (60 mm) A4417

Urostomy

SenSura® Mio Flat MAXI Urostomy Pouch

• Extended wear

• Multi-chambers minimize sloshing

• Anti-reﬂux valves prevent urine from washing

over the stoma

• Soft outlet can be connected to urostomy

night bag #21365 or most standard night bags

• Neutral gray, water-resistant textile on back

• Not made with natural rubber latex

Transparent 10½" (27 cm) / 400 mL Units: 10

Code Cut Stoma Size HCPCS*

10586 Cut-to-ﬁt

⁄8 - 1

⁄4" (10-45 mm) A4391

Indicates Convex Flip

1-Piece SenSura® Mio

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

Indicates convexity

SenSura® Mio Soft Convex MAXI Urostomy Pouch

• Extended wear

• Belt tabs for use with 4237, 4247

• FlexShell is designed for stability and ﬂexibility

• Multi-chambers minimize sloshing

• Anti-reﬂux valves prevent urine from washing

over the stoma

• Soft outlet can be connected to urostomy night

bag #21365 or any standard night bag

• Neutral gray, water-resistant textile

• Not made with natural rubber latex

10½" (27 cm) / 400 mL Units: 10

Code Cut Stoma Size HCPCS*

Transparent Opaque

13679 16805 Cut-to-ﬁt

⁄8 - 1

⁄16" (10-33 mm) A4393

16810 NA Cut-to-ﬁt

⁄8 - 2" (10-50 mm) A4393

13731 NA Pre-cut

⁄8 " (21 mm) A4393

13732 NA Pre-cut 1" (25 mm) A4393

13733 NA Pre-cut 1

⁄8" (28 mm) A4393

13734 NA Pre-cut 1

⁄4 " (31 mm) A4393

SenSura® Mio Soft Convex MIDI Urostomy Pouch

• Extended wear

• Belt tabs for use with 4237, 4247

• FlexShell is designed for stability and ﬂexibility

• Multi-chambers minimize sloshing

• Anti-reﬂux valves prevent urine from washing

over the stoma

• Soft outlet can be connected to urostomy

night bag #21365 or any standard night bag

• Neutral gray, water-resistant textile

• Not made with natural rubber latex

Opaque 9½" (24 cm) / 330 mL Units: 10

Code Cut Stoma Size HCPCS*

16801 Cut-to-ﬁt

⁄8 - 1

⁄16" (10-33 mm) A4393

1-Piece SenSura

Mio

64 www�coloplast�us 1-800-533-046464

SenSura® Mio Convex Light MAXI Urostomy Pouch

• Extended wear

• Belt tabs for use with 4237, 4247

• FlexShell is designed for stability and ﬂexibility

• Multi-chambers minimize sloshing

• Anti-reﬂux valves prevent urine from washing

over the stoma

• Soft outlet can be connected to urostomy

night bag #21365 or any standard night bag

• Neutral gray, water-resistant textile

• Not made with natural rubber latex

10½" (27 cm) / 400 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

16835 16825 Cut-to-ﬁt

⁄8 -

⁄8" (10-22 mm) A4393

16836 16826 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-33 mm) A4393

16837 NA Cut-to-ﬁt

⁄8 - 1

⁄16" (10-43 mm) A4393

NA 16830 Pre-cut

⁄16" (18 mm) A4393

16840 16831 Pre-cut

⁄16" (21 mm) A4393

16841 16832 Pre-cut 1" (25 mm) A4393

16842 16833 Pre-cut 1

⁄8" (28 mm) A4393

NA 16827 Pre-cut 1

⁄4" (31 mm) A4393

SenSura® Mio Convex Light MIDI Urostomy Pouch

• Extended wear

• Belt tabs for use with 4237, 4247

• FlexShell is designed for stability and ﬂexibility

• Multi-chambers minimize sloshing

• Anti-reﬂux valves prevent urine from washing

over the stoma

• Soft outlet can be connected to urostomy

night bag #21365 or any standard night bag

• Neutral gray, water-resistant textile

• Not made with natural rubber latex

Opaque 9½" (24 cm) / 330 mL Units: 10

Code Cut Stoma Size HCPCS*

16821 Cut-to-ﬁt

⁄8 -

⁄8" (10-22 mm) A4393

16822 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-33 mm) A4393

16823 Pre-cut 1

⁄4" (31 mm) A4393

Indicates convexity

1-Piece SenSura® Mio

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

SenSura® Mio Deep Convex MAXI Urostomy Pouch

• Extended wear

• Belt tabs for use with 4237, 4247

• FlexShell is designed for stability and ﬂexibility

• Multi-chambers minimize sloshing

• Anti-reﬂux valves prevent urine from washing

over the stoma

• Soft outlet can be connected to urostomy

night bag #21365 or any standard night bag

• Neutral gray, water-resistant textile

• Not made with natural rubber latex

10½" (27 cm) / 400 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

16865 16855 Cut-to-ﬁt

⁄8 -

⁄8" (10-22 mm) A4393

16866 16856 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-33 mm) A4393

16867 NA Cut-to-ﬁt

⁄8 - 1

⁄16" (10-43 mm) A4393

NA 16860 Pre-cut

⁄16" (18 mm) A4393

16870 16861 Pre-cut

⁄16" (21 mm) A4393

16871 16862 Pre-cut 1" (25 mm) A4393

16872 16863 Pre-cut 1

⁄8" (28 mm) A4393

NA 16857 Pre-cut 1

⁄4" (31 mm) A4393

SenSura® Mio Convex Flip MAXI Urostomy Pouch

• Extended wear

• Designed for curves, bulges and hernias

• Curved, star-shaped barrier conforms to outward

areas with less creasing and folding

• “Flip to ﬁt” design allows for easy application

• Soft outlet can be connected to urostomy night

bag #21365 or any standard night bag

• Not made with natural rubber latex

10½” (27 cm) / 400 mL Units: 10

Code Code Cut Stoma Size Max Cut HCPCS*

Transparent Opaque

18405 18401 Cut-to-fit

⁄8 - 1

⁄16’’

(10-40 mm)

⁄16”

(40 mm)

A4393

NA 18402 Pre-cut ¾” (20 mm)

⁄16”

(40 mm)

A4393

NA 18403 Pre-cut 1” (25 mm)

⁄16”

(40 mm)

A4393

NA 18404 Pre-cut

⁄16”

(30 mm)

⁄16”

(40 mm)

A4393

Indicates Convex Flip

Indicates convexity

www�coloplast�us 1-800-533-0464

1-Piece SenSura

SenSura® Flat MAXI Drainable Pouch

• Standard wear

• EasiClose

™

WIDE Outlet

• Filter

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

11½" (29½ cm) / 655 mL Units: 20

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

15521 15531 Cut-to-ﬁt

⁄8 - 3" (10-76 mm) A4424

15522 15532 Pre-cut 1" (25 mm) A4424

15523 15533 Pre-cut 1

⁄16" (30 mm) A4424

15524 15534 Pre-cut 1

⁄8" (35 mm) A4424

SenSura® Flat MAXI Drainable Pouch

• Standard wear

• EasiClose™ WIDE Outlet

• Without ﬁlter

• Soft cloth on back

• Not made with natural rubber latex

Transparent 11½" (29½ cm) / 655 mL Units: 20

Code Cut Stoma Size HCPCS*

15821 Cut-to-ﬁt

⁄8 - 3" (10-76 mm) A5061

SenSura® Xpro Flat MAXI Drainable Pouch

• Extended wear

• EasiClose™ WIDE Outlet

• Filter

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

⁄22" (29½ cm) / 655 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

15981 NA Cut-to-ﬁt

⁄8 - 3" (10-76 mm) A5056

NA 15991 Pre-cut 1" (25 mm) A5056

NA 15992 Pre-cut 1

⁄16" (30 mm) A5056

NA 15993 Pre-cut 1

⁄4" (32 mm) A5056

NA 15994 Pre-cut 1

⁄2" (38 mm) A5056

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

1-Piece SenSura

Indicates convexity

SenSura® Convex Light MAXI

Drainable Pouch

• Standard wear

• EasiClose™ WIDE Outlet

• Filter

• Belt tabs for use with 4215, 4220

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

11½" (29½ cm) / 655 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

15606 15608 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-43 mm) A4389

15623 15633 Pre-cut 1" (25 mm) A4389

15624 15634 Pre-cut 1

⁄8" (28 mm) A4389

SenSura® Xpro Convex Light MAXI

Drainable Pouch

• Extended wear

• EasiClose™ WIDE Outlet

• Filter

• Belt tabs for use with 4215, 4220

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

⁄22" (29½ cm) / 655 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

15695 NA Cut-to-ﬁt

⁄8 - 1

⁄16" (15-33 mm) A5057

15696 NA Cut-to-ﬁt

⁄8 - 1

⁄16" (15-43 mm) A5057

15697 Pre-cut

⁄8" (22 mm) A5057

15698 Pre-cut 1" (25 mm) A5057

SenSura® Flat MAXI Drainable Pouch

• Standard wear

• Soft outlet provides effective drainage; connects to

a standard drain bag or Coloplast ﬁstula drain bag

#14010

• Filter

• Soft cloth on front and back

• Peek-a-boo inspection window allows

easy application

• Not made with natural rubber latex

Opaque 12 ½" (32 cm) / 630 mL Units: 30

Code Cut Stoma Size HCPCS*

19004 Cut-to-ﬁt

⁄8 - 3" (10-76 mm) A4424

For bed drainage bag, see page 16�

**Product has not been through PDAC veriﬁcation

www�coloplast�us 1.800.533.0464

1-Piece SenSura

SenSura® Flat MAXI Closed Pouch

• Standard wear

• Filter

• Soft cloth on front and back

• Not made with natural rubber latex

Opaque 8

⁄22" (21 cm) / 550 mL Units: 30

Code Cut Stoma Size HCPCS*

15480 Cut-to-ﬁt

⁄8 - 3" (10-76 mm) A4416

15484 Pre-cut 1

⁄8" (35 mm) A4416

Urostomy

SenSura® Flat MAXI Urostomy Pouch

• Standard wear

• Multi-chambers minimize sloshing

• Anti-reﬂux valves prevent urine from washing

over the stoma

• Soft outlet can be connected to urostomy

night bag #21365 or any standard night bag

• Soft cloth on back

• Not made with natural rubber latex

Transparent 10

⁄8" (26 cm) / 400 mL Units: 10

Code Cut Stoma Size HCPCS*

11804 Cut-to-ﬁt

⁄8 - 3" (10-76 mm) A5071

SenSura® Flat MIDI Urostomy Pouch

• Standard wear

• Multi-chambers minimize sloshing

• Anti-reﬂux valves prevent urine from washing

over the stoma

• Soft outlet can be connected to urostomy

night bag #21365 or any standard night bag

• Soft cloth on back

• Not made with natural rubber latex

Transparent 9

⁄2" (24 cm) / 330 mL Units: 10

Code Cut Stoma Size HCPCS*

11803 Cut-to-ﬁt

⁄8 - 2

⁄2" (10-66 mm) A5071

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

1-Piece SenSura®

SenSura® Xpro Flat MAXI Urostomy Pouch

• Extended wear

• Multi-chambers minimize sloshing

• Anti-reﬂux valves prevent urine from washing

over the stoma

• Soft outlet can be connected to urostomy

night bag #21365 or any standard night bag

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

⁄8" (26 cm) / 400 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

11809 NA Cut-to-ﬁt

⁄8 - 3" (10-76 mm) A4391**

NA 11805 Pre-cut

⁄8" (22 mm) A4391**

NA 11806 Pre-cut 1" (25 mm) A4391**

NA 11807 Pre-cut 1

⁄16" (30 mm) A4391**

NA 11808 Pre-cut 1

⁄4" (32 mm) A4391**

SenSura® Convex Light MAXI Urostomy Pouch

• Standard wear

• Multi-chambers minimize sloshing

• Anti-reﬂux valves prevent urine from washing

over the stoma

• Soft outlet can be connected to urostomy

night bag #21365 or any standard night bag

• Belt tabs for use with 4215, 4220

• Soft cloth on back

• Not made with natural rubber latex

Transparent 10

⁄8" (26 cm) / 400 mL Units: 10

Code Cut Stoma Size HCPCS*

11814 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-33 mm) A4392

Indicates convexity

**Product has not been through PDAC veriﬁcation

www�coloplast�us 1-800-533-0464

1-Piece SenSura® / Assura®

Indicates convexity

SenSura® Xpro Convex Light MAXI Urostomy Pouch

• Extended wear

• Belt tabs for use with 4215, 4220

• Multi-chambers minimize sloshing

• Anti-reﬂux valves prevent urine from washing

over the stoma

• Soft outlet can be connected to urostomy

night bag #21365 or any standard night bag

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

⁄8" (26 cm) / 400 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

11819 NA Cut-to-ﬁt

⁄8 - 1

⁄16" (15-33 mm) A4393**

NA 11816 Pre-cut

⁄8" (22 mm) A4393**

NA 11817 Pre-cut 1" (25 mm) A4393**

NA 11818 Pre-cut 1¼" (32 mm) A4393**

Urostomy Night Bag and Bag Hanger

See Accessories page 16 for more information.

EasiClose

™

WIDE outlets offer a 1/2" wider integrated

closure for easy, fast emptying on the go.

Assura® Flat MAXI Drainable Pouch

• Standard wear

• EasiClose™ WIDE Outlet

• Filter

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

11½" (29 cm) / 530 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

15860 15870 Cut-to-ﬁt

⁄8 - 3" (10-75 mm) A4424

NA 15874 Pre-cut 1" (25 mm) A4424

NA 15875 Pre-cut 1

⁄16" (30 mm) A4424

NA 15876 Pre-cut 1

⁄8" (35 mm) A4424

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

1-Piece Assura®

Indicates convexity

Assura® Flat MAXI Drainable Pouch

• Standard wear

• EasiClose™ WIDE Outlet

• Without ﬁlter

• Soft cloth on front and back

• Not made with natural rubber latex

Opaque 11½" (29 cm) / 530 mL Units: 10

Code Cut Stoma Size HCPCS*

15871 Cut-to-ﬁt

⁄8 - 3" (10-75 mm) A5061

Assura® Flat MAXI Drainable Pouch

• Extended wear

• EasiClose™ WIDE Outlet

• Without ﬁlter

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

11¼" (28½

cm) / 530 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

15869 15879 Cut-to-ﬁt

⁄8 - 3" (10-75 mm) A4388

Assura® Convex Light MAXI

Drainable Pouch

• Standard wear

• EasiClose™ WIDE Outlet

• Filter

• Belt tabs for use with 4215, 4220

• Soft cloth on back

• Not made with natural rubber latex

Transparent 11½" (29 cm) / 530 mL Units: 10

Code Cut Stoma Size HCPCS*

14511 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-33 mm) A4389

14512 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-43 mm) A4389

**Product has not been through PDAC veriﬁcation

www�coloplast�us 1-800-533-0464

1-Piece Assura®

Assura® Flat MAXI Drainable Pouch

• Standard wear

• EasiClose™ Outlet

• Filter

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

11¼" (28

⁄2 cm) / 530 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

13860 13870 Cut-to-ﬁt

⁄8 - 3" (10-75 mm) A4424

NA 13874 Pre-cut 1" (25 mm) A4424

NA 13875 Pre-cut 1

⁄16" (30 mm) A4424

NA 13876 Pre-cut 1

⁄8" (35 mm) A4424

Assura® Flat MIDI Drainable Pouch

• Standard wear

• EasiClose™ Outlet

• Filter

• Soft cloth on front and back

• Not made with natural rubber latex

Opaque 10¼" (26 cm) / 390 mL Units: 10

Code Cut Stoma Size HCPCS*

13840 Cut-to-ﬁt

⁄8 - 2

⁄2" (10-65 mm) A4424

13844 Pre-cut 1" (25 mm) A4424

13845 Pre-cut 1

⁄16" (30 mm) A4424

13846 Pre-cut 1

⁄8" (35 mm) A4424

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

1-Piece Assura®

Indicates convexity

Assura® Convex Light MAXI

Drainable Pouch

• Standard wear

• EasiClose™ Outlet

• Filter

• Belt tabs for use with 4215, 4220

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

11¼" (28½

cm) / 530 mL Units: 10

Code Cut Stoma Size HCPCS*

Transparent Opaque

14411 14414 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-33 mm) A4389

14412 14415 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-43 mm) A4389

NA 14421 Pre-cut

⁄8" (22 mm) A4389

NA 14422 Pre-cut 1" (25 mm) A4389

NA 14423 Pre-cut 1

⁄8" (28 mm) A4389

NA 14424 Pre-cut 1

⁄4" (31 mm) A4389

Assura® Convex Light MIDI

Drainable Pouch

• Standard wear

• EasiClose™ Outlet

• Filter

• Belt tabs for use with 4215, 4220

• Soft cloth on front and back

• Not made with natural rubber latex

Opaque 10¼" (26

cm) / 390 mL Units: 10

Code Cut Stoma Size HCPCS*

14404 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-33 mm) A4389

14405 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-43 mm) A4389

Assura® Deep Convex MAXI

Drainable Pouch

• Standard wear

• EasiClose™ Outlet

• Filter

• Belt tabs for use with 4215, 4220

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

11¼" (28½

cm) / 530 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

14103 14106 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-43 mm) A4389

14163 14173 Pre-cut

⁄8" (22 mm) A4389

14164 14174 Pre-cut 1" (25 mm) A4389

14165 14175 Pre-cut 1

⁄8" (28 mm) A4389

14166 14176 Pre-cut 1

⁄4" (31 mm) A4389

www�coloplast�us 1-800-533-0464

1-Piece Assura®

Assura® Deep Convex MIDI Drainable Pouch

• Standard wear

• EasiClose™ Outlet

• Filter

• Belt tabs for use with 4215, 4220

• Soft cloth on front and back

• Not made with natural rubber latex

Opaque 10¼" (26

cm) / 390 mL Units: 10

Code Cut Stoma Size HCPCS*

14196 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-43 mm) A4389

Assura® Convex Light MAXI

Drainable Pouch

• Extended wear

• EasiClose™ Outlet

• Without ﬁlter

• Belt tabs for use with 4215, 4220

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

11¼" (28½

cm) / 530 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

14413 NA Cut-to-ﬁt

⁄8 - 1

⁄16" (15-33 mm) A4390

14416 14419 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-43 mm) A4390

Assura® Flat MAXI Drainable Pouch

• Standard wear

• Clamp closure

• Without ﬁlter

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

11¼" (28½

cm) / 530 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

12660 12670 Cut-to-ﬁt

⁄8 - 2

⁄4" (10-70 mm) A5061

Assura® Flat MINI Drainable Pouch

• Standard wear

• Clamp closure

• Without ﬁlter

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

9 ¾" (24½

cm) / 230 mL Units: 10

Code Cut Stoma Size HCPCS*

Transparent Opaque

12630 12620 Cut-to-ﬁt

⁄8 - 2¼" (10-55 mm) A5061

Indicates convexity

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

1-Piece Assura®

Assura® Deep Convex MAXI Drainable Pouch

• Standard wear

• Clamp closure

• Without ﬁlter

• Belt tabs for use with 4215, 4220

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

11¼" (28½

cm) / 530 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

13706 12533 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-43 mm) A4389

Assura® Deep Convex MINI Drainable Pouch

• Standard wear

• Clamp closure

• Without ﬁlter

• Belt tabs for use with 4215, 4220

• Soft cloth on back

• Not made with natural rubber latex

Transparent 9¾" (24½

cm) / 230 mL Units: 10

Code Cut Stoma Size HCPCS*

13703 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-43 mm) A4389

Assura® Deep Convex MAXI Drainable Pouch

• Extended wear

• Clamp closure

• Without ﬁlter

• Belt tabs for use with 4215, 4220

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

11¼" (28½

cm) / 530 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

12416 12419 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-43 mm) A4390

Assura® Flat MAXI Closed Pouch

• Standard wear

• Filter

• Soft cloth on front and back

• Not made with natural rubber latex

Opaque 8½" (22

cm) / 530 mL Units: 30

Code Cut Stoma Size HCPCS*

12170 Cut-to-ﬁt

⁄16 - 3" (20-75 mm) A4416

12174 Pre-cut 1" (25 mm) A4416

12175 Pre-cut 1

⁄16" (30 mm) A4416

12176 Pre-cut 1

⁄8" (35 mm) A4416

12177 Pre-cut 1

⁄16" (40 mm) A4416

Indicates convexity

www�coloplast�us 1.800.533.0464

1-Piece Assura®

Assura® Flat MIDI Closed Pouch

• Standard wear

• Filter

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

7" (18

cm) / 350 mL Units: 30

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

12130 12140 Cut-to-ﬁt

⁄16 - 2½" (20-65 mm) A4416

12134 12144 Pre-cut 1" (25 mm) A4416

12135 12145 Pre-cut 1

⁄16" (30 mm) A4416

12136 12146 Pre-cut 1

⁄8" (35 mm) A4416

NA 12147 Pre-cut 1

⁄16" (40 mm) A4416

NA 12149 Pre-cut 2" (50 mm) A4416

Assura® Flat MINI Closed Pouch

• Standard wear

• Filter

• Soft cloth on front and back

• Not made with natural rubber latex

Opaque 5" (12

cm) / 170 mL Units: 30

Code Cut Stoma Size HCPCS*

12110 Cut-to-ﬁt

⁄16 - 2½" (20-65 mm) A4416

Assura® Convex Light MAXI Closed Pouch

• Standard wear

• Filter

• Belt tabs for use with 4215, 4220

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

8½" (22

cm) / 560 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

14441 14444 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-33 mm) A4417

14442 14445 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-43 mm) A4417

Indicates convexity

1-Piece Assura®

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

Assura® Convex Light MIDI Closed Pouch

• Standard wear

• Filter

• Belt tabs for use with 4215, 4220

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

7" (18 cm) / 350 mL Units: 10

Code Cut Stoma Size HCPCS*

Transparent Opaque

14431 14434 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-33 mm) A4417

14432 14435 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-43 mm) A4417

NA 14451 Pre-cut

⁄8" (22 mm) A4417

NA 14452 Pre-cut 1" (25 mm) A4417

NA 14453 Pre-cut 1

⁄8" (28 mm) A4417

NA 14454 Pre-cut 1

⁄4" (31 mm) A4417

Assura® Flat Stoma Cap

• Standard Wear

• Filter

• Belt tabs

• Soft cloth on back

• Small pouch size for intimate moments or

colostomates who irrigate

• Not made with natural rubber latex

Opaque Units: 30

Code Cut Stoma Size HCPCS*

2501 Cut-to-ﬁt

⁄16 - 2¼" (20-55 mm) A5055

Urostomy

Assura® Flat MAXI Urostomy Pouch

• Standard wear

• Multi-chambers minimize sloshing

• Soft outlet can be connected to urostomy

night bag #21365 or any standard night bag

• Soft cloth on back

• Not made with natural rubber latex

Transparent 10¾" (27

⁄2 cm) / 470 mL Units: 10

Code Cut Stoma Size HCPCS*

14222 Cut-to-ﬁt

⁄8 - 2

⁄4" (10-55 mm) A5071

Indicates convexity

www.coloplast.us 1-800-533-0464

1-Piece Assura

Assura® Convex Light MAXI Urostomy Pouch

• Standard wear

• Multi-chambers minimize sloshing

• Soft outlet can be connected to urostomy

night bag #21365 or any standard night bag

• Belt tabs for use with 4215, 4220

• Soft cloth on back

• Not made with natural rubber latex

Transparent 10¾" (27

⁄2 cm) / 470 mL Units: 10

Code Cut Stoma Size HCPCS*

14717 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-43 mm) A4392

Assura® Flat MAXI Urostomy Pouch

• Standard wear

• Soft outlet can be connected to urostomy

night bag #21365 or any standard night bag

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

10 ¾" (27 cm) / 465 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

5585 5580 Cut-to-ﬁt

⁄8 - 2

⁄4" (10-55 mm) A5071

Assura® Flat MIDI Urostomy Pouch

• Standard wear

• Soft outlet can be connected to urostomy

night bag #21365 or any standard night bag

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

7" (18 cm) / 265 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

5575 5570 Cut-to-ﬁt

⁄8 - 2

⁄4" (10-55 mm) A5071

Assura® Flat MAXI Urostomy Pouch

• Extended wear

• Soft outlet can be connected to urostomy

night bag #21365 or any standard night bag

• Soft cloth on back

• Not made with natural rubber latex

Transparent 9½" (24 cm) / 375 mL Units: 10

Code Cut Stoma Size HCPCS*

12474 Cut-to-ﬁt

⁄8 - 2

⁄4" (10-55 mm) A4391

Indicates convexity

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

1-Piece Assura®

Assura® Flat MIDI Urostomy Pouch

• Extended wear

• Soft outlet can be connected to urostomy

night bag #21365 or any standard night bag

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

9 ½" (24 cm) / 265 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

12472 12471 Cut-to-ﬁt

⁄88 - 2

⁄44" (10-55 mm) A4391

Assura® Deep Convex MAXI Urostomy Pouch

• Standard wear

• Soft outlet can be connected to urostomy

night bag #21365 or any standard night bag

• Belt tabs for use with 4215, 4220

• Soft cloth on back

• Not made with natural rubber latex

Transparent 10¾" (27 cm) / 465 mL Units: 10

Code Cut Stoma Size HCPCS*

12595 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-33 mm) A4392

12596 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-43 mm) A4392

12991 Pre-cut

⁄8 " (15 mm) A4392

12992 Pre-cut

⁄4 " (18 mm) A4392

12993 Pre-cut

⁄8 " (22 mm) A4392

12994 Pre-cut 1" (25 mm) A4392

12995 Pre-cut 1

⁄8" (28 mm) A4392

12996 Pre-cut 1

⁄4" (31 mm) A4392

12997 Pre-cut 1

⁄8" (35 mm) A4392

Assura® Deep Convex MAXI Urostomy Pouch

• Extended wear

• Soft outlet can be connected to urostomy night bag

#21365 or any standard night bag

• Belt tabs for use with 4215, 4220

• Soft cloth on back

• Not made with natural rubber latex

Transparent 10

⁄44" (27 cm) / 465 mL Units: 10

Code Cut Stoma Size HCPCS*

12432 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-33 mm) A4393

12433 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-43 mm) A4393

Indicates convexity

80 www�coloplast�us 1-800-533-0464

Features:

1. Easy access to Coloplast® Care

2. BodyCheck Assessment

3. Step-by-step guides with how-to-use

videos

4. Common problems and

recommended actions

5. General information on urostomies,

ileostomies and colostomies

Download the Coloplast

Stoma Care app now!

Search for “Stoma Care” in the

App Store and Google Play to

download for free today.

Download the

Coloplast Stoma

Care App

Designed with nurses in mind

Hospital

Assortment

Hospital

Assortment

Elastic adhesive ﬁts over folds

and contours, yet remains

securely in place

Two outlet types for different

options:

• Soft (for liquid stool; ﬁts standard

drain bags)

• Tap (for thicker output; ﬁts fecal drain

bag with wide-lumen tubing)

Printed measurement scale on

post op pouches helps visually

track output volume

Tap

outlet

Soft

outlet

Hospital

Assortment

Security and comfort from

hospital to home.

Your patients deserve all the beneﬁts of

SenSura® Mio from day one.

Getting used to a stoma is challenging enough without the

added complexity of having to learn a different pouching

system. Why not give your patients the security and comfort of

Mio - right from the start? Options are available in different sizes,

outlet types, and coupling systems to meet patient needs.

1-piece

Soft

Available in ﬂat,

soft convex, and

light convex!

Post Op with window

Soft

Sterile | Non-Sterile

2-piece Flex

Soft | Tap

2-piece Click

Soft | Tap

*Also available

in smaller size!

Ostomy Care

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

High Output Pouches

SenSura® Mio Click High Output Pouch

with Soft Outlet

• Special full-circle ﬁlter designed speciﬁcally

for ileostomy output

• Neutral gray, water-resistant textile

• Transparent pouches feature a printed scale

for visual indication of output volume

• Opaque pouches feature a peek-a-boo

inspection window and tuck-away option to keep the outlet from

rubbing on the wearer's leg

• Soft outlet provides effective drainage; connects to a standard

drain bag or Coloplast ﬁstula drain bag #14010

• Not made with natural rubber latex

12½" (32 cm) / 1080 mL Units: 10

Code Code Color HCPCS*

Transparent Opaque

18640 18630

A4413

18641 18631

A4413

18642 18632

A4413

SenSura® Mio Click High Output Pouch

with Tap Outlet

• Special full-circle ﬁlter designed speciﬁcally

for ileostomy output

• Neutral gray, water-resistant textile

• Transparent pouches feature a printed scale

for visual indication of output volume

• Opaque pouches feature a peek-a-boo inspection window and

tuck-away option to keep the outlet from rubbing on the wearer's

leg

• Wider-lumen outlet provides effective drainage for patients with

thicker output; connects to Coloplast ﬁstula drain bag #14010

• Not made with natural rubber latex

12½" (32 cm) / 1080 mL Units: 10

Code Code Color HCPCS*

Transparent Opaque

18610 18600

A4413

18611 18601

A4413

18612 18602

A4413

18613 18603

A4413

www.coloplast.us 1-800-533-0464

High Output Pouches

SenSura® Mio Click Drainable Pouch

with Tap Outlet

• Special full-circle ﬁlter designed speciﬁcally for

ileostomy output

• Neutral gray, water-resistant textile

• Opaque pouches feature a peek-a-boo inspection

window and tuck-away option to keep the outlet from

rubbing on the wearer's leg

• Wider-lumen outlet provides effective drainage for patients with

thicker output; connects to Coloplast ﬁstula drain bag #14010

• Not made with natural rubber latex

9" (23 cm) / 650 mL Units: 10

Code Color HCPCS*

Opaque

18620

A4427

18621

A4427

18622

A4427

Assura® High Output Drainable Pouch

• Soft outlet can connect to Coloplast’s ﬁstula

drain bag #14010, or a drain bag with a

standard connection

• Filter

• Soft cloth on back (and front of opaque)

• Not made with natural rubber latex

⁄22" (32 cm) / 750 mL Units: 10

Code Code Color HCPCS*

Transparent Opaque

8114 NA

A4413

8115 2846

A4413

8116 2847

A4413

For bed drainage bag and bag hanger, see page 16�

SenSura® Mio Flex High Output

Pouch with Tap Outlet

• Special full-circle ﬁlter designed speciﬁcally

for ileostomy output

• Transparent pouches feature a printed scale for visual

indication of output volume

• Opaque pouches feature a peek-a-boo inspection window and

tuck-away option to keep the outlet from rubbing on the wearer's

leg

• Wider-lumen outlet provides effective drainage for patients with

thicker output; connects to Coloplast ﬁstula drain bag #14010

• Not made with natural rubber latex

12½" (32 cm) / 1080 mL Units: 10

Code Code Color HCPCS*

Transparent Opaque

18655 18650

A4413

18656 18651

A4413

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

High Output Pouches

SenSura® Mio Flex High Output

Pouch with Soft Outlet

• Special full-circle ﬁlter designed speciﬁcally

for ileostomy output

• Transparent pouches feature a printed scale for visual

indication of output volume

• Opaque pouches feature a peek-a-boo inspection window and

tuck-away option to keep the outlet from rubbing on the wearer's

leg

• Wider-lumen outlet provides effective drainage for patients with

thicker output; connects to a standard drain bag or Coloplast

ﬁstula drain bag #14010

• Not made with natural rubber latex

12½" (32 cm) / 1080 mL Units: 10

Code Code Color HCPCS*

Transparent Opaque

18657 18652

A4413

18658 18653

A4413

SenSura® Mio MAXI Drainable Pouch

with Soft Outlet

• Extended wear

• Special full-circle ﬁlter designed speciﬁcally

for ileostomy output

• Transparent pouches feature a printed

scale for visual indication of output volume

• Opaque pouches feature a peek-a-boo

inspection window and tuck-away option to

keep the outlet from rubbing on the wearer's leg

• Soft outlet can connect to Coloplast’s ﬁstula drain bag #14010, or

most standard night bags

• Not made with natural rubber latex

11" (28 cm) / 630 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

18665 18660 Cut-to-ﬁt

⁄8 - 2 ¾" (10-70 mm) A5056

18666 18661 Cut-to-ﬁt

⁄8 - 4" (10-100 mm) A5056

SenSura® Mio Soft Convex MAXI

Drainable Pouch with Soft Outlet

• Extended wear

• Belt tabs for use with 4237, 4247

• Special full-circle ﬁlter designed speciﬁcally

for ileostomy output

• Transparent pouches feature a printed scale for visual

indication of output volume

• Opaque pouches feature a peek-a-boo inspection window and

tuck-away option to keep the outlet from rubbing on the wearer's

leg

• Soft outlet can connect to Coloplast’s ﬁstula drain bag #14010, or

any standard night bag

• Not made with natural rubber latex

11" (28 cm) / 630 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

18671 18670 Cut-to-ﬁt

⁄8 - 2" (10-50 mm) A5057

www.coloplast.us 1-800-533-0464

High Output Pouches

SenSura® Mio Convex Light MAXI

Drainable Pouch with Soft Outlet

• Extended wear

• Belt tabs for use with 4237, 4247

• Special full-circle ﬁlter designed speciﬁcally

for ileostomy output

• Transparent pouches feature a printed

scale for visual indication of output volume

• Opaque pouches feature a peek-a-boo

inspection window and tuck-away option

to keep the outlet from rubbing on the wearer's leg

• Soft outlet can connect to Coloplast’s ﬁstula drain bag #14010, or

any standard night bag

• Not made with natural rubber latex

11" (28 cm) / 630 mL Units: 10

Code Code Cut Stoma Size HCPCS*

Transparent Opaque

18676 18675 Cut-to-ﬁt

⁄8 - 1

⁄16" (10-43 mm) A5057

SenSura® Flat MAXI Drainable Pouch

• Standard wear

• Soft outlet provides effective drainage; connects to

a standard drain bag or Coloplast ﬁstula drain bag

#14010

• Filter

• Soft cloth on front and back

• Peek-a-boo inspection window allows

easy application

• Not made with natural rubber latex

Opaque 12

⁄22" (32 cm) / 630 mL Units: 30

Code Cut Stoma Size HCPCS*

19004 Cut-to-ﬁt

⁄8 - 3" (10-76 mm) A4424

For bed drainage bag, see page 16�

SenSura® Mio 1-piece Post Op

Pouch with Window

• Neutral gray, water-resistant textile

• Printed scale provides visual indication of

output volume

• Easy-to-open and close post-op

window attached to pouch

• Soft outlet can connect to Coloplast’s ﬁstula drain

bag #14010, or a drain bag with a standard connection

• Not made with natural rubber latex

Transparent Units: 5

Code Code Cut Volume Stoma Size

Non-sterile Sterile

18690 18680 Cut-to-ﬁt 680mL

⁄8 - 2

⁄4" (10-70 mm)

18691 18681 Cut-to-ﬁt 725mL

⁄8 - 4" (10-100 mm)

Indicates convexity

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

Post-Op

SenSura® Standard Wear 1-piece

Post-Op Pouch with Window

• Flat

• Soft outlet can connect to Coloplast’s ﬁstula drain bag

#14010, or a drain bag with a standard connection

• Easy-to-open and - close access window

attached to pouch

• Soft cloth on back

• Not made with natural rubber latex

Transparent 13" (33 cm) / 830 mL Units: 5

Code Code Cut Stoma Size HCPCS*

Non-sterile Sterile

19020 19010 Cut-to-ﬁt

⁄8 - 3" (10-76 mm) A6154

19021 19011 Cut-to-ﬁt

⁄8 - 4

⁄2" (10-115 mm) A6154

SenSura® Standard Wear 1-piece

Post-Op Pouch

• Flat

• Soft outlet can connect to Coloplast’s ﬁstula drain bag

#14010, or a drain bag with a standard connection

• Effective pouching solution for small ﬁstulas

• Soft cloth on back

• Not made with natural rubber latex

Transparent 12

⁄44" (31 cm) / 690 mL Units: 5

Code Cut Stoma Size HCPCS*

Non-sterile Sterile

19030 19001 Cut-to-ﬁt

⁄8 - 3" (10-76 mm) A6154

For SenSura® Magnum high output pouches, see page 30�

Assura® Standard Wear 1-piece

Post-Op Pouch with Window

• Flat

• Soft outlet can connect to Coloplast’s ﬁstula drain bag

#14010, or a drain bag with a standard connection

• Easy-to-open and -close access window

• Soft cloth on back

• Not made with natural rubber latex

Transparent 13" (33 cm) / 830 mL Units: 5

Code Code Cut Stoma Size HCPCS*

Non-sterile Sterile

12800 12808 Cut-to-ﬁt

⁄2 - 2

⁄4" (13-70 mm) A6154

12802 12810 Cut-to-ﬁt

⁄2 - 4" (13-100 mm) A6154

www.coloplast.us 1-800-533-0464

Post-Op

Assura® Standard Wear 1-piece Post-Op Pouch

• Flat

• Soft outlet can connect to Coloplast’s ﬁstula drain bag #14010, or a

drain bag with a standard connection

• Soft cloth on back

• Not made with natural rubber latex

Transparent 12

⁄44 " (31 cm) / 690 mL Units: 5

Code Code Cut Stoma Size HCPCS*

Non-sterile Sterile

12805 12818 Cut-to-ﬁt

⁄2 - 2

⁄4" (13-70 mm) A6154

Assura® Ileo Night Bag

• 2 liter capacity for very high output stomas

• Clamp closure

• Comes with bag hanger

• Filter

• Not made with natural rubber latex

2 L Units: 5

Code Color HCPCS*

Opaque

2836

A4413

2837

A4413

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

Inﬂatable Ring

• Provides stability when applying the lid

• Reduces risk of leakage

Flexible Lid

• Easy to apply

and remove

• Allows access to

dress the wound

Outlets

• Spigots make draining

ﬁstulas/wounds easy

Drain Port

• Allows for catheter

insertion

Tracing Guide

• Provides accuracy in

cutting ﬁstula or wound

patterns

Double-layer

adhesive

• Flexible and long-lasting

• Protects skin from

drainage

Pump

• Easy to inﬂate the ring

Coloplast® Fistula and Wound Management System

Each system includes:

• 1 pouch and tracing guide

• 1 drain port (extras sold separately on next page)

• 1 lid (extras sold separately on next page)

• 1 clear drape

• 1 clamp

• Not made with natural rubber latex

Each box includes one pump.

14050 Mini 14060 Midi 14070 Maxi

Units: 3

Units for 14050: 6

Code Cut Stoma Size HCPCS*

14050 Mini 4

⁄8 x 6

⁄4" (104-159 mm) A6154

14060 Midi 6

⁄8 x 9" (156-228 mm) A6154

14070 Maxi 8

⁄8 x 11

⁄4" (208-297 mm) A6154

Fistula / Wound Management

Fistula Accessories: Extra Protection

90 www�coloplast�us 1-800-533-0464

Fistula / Wound Pouch Accessories

Coloplast® Fistula Drain Port

Can be easily applied to the lid to allow for

catheter insertion. For catheters ranging from

18FR - 22FR, the drain port is ready for use.

For catheters ranging from 24FR - 30FR, pull

off the top of the drain port - DO NOT CUT.

• Not made with natural rubber latex

Code Size Units

14015 One size 12

Coloplast® Bed Drainage Bag

Bag tubing speciﬁcally designed for fecal

output. Holds up to 2000 mL. Long tubing can

be cut easily, allowing nurses to ﬁnd the right

length for bed drainage.

• Not made with natural rubber latex

Units: 6

Code Size HCPCS*

14010 2000 mL A4357

For matching bag hanger, see page 16�

Coloplast® Transparent Fistula Lids

Replacement lids match the transparent

lid included with each ﬁstula pouch.

• Not made with natural rubber latex

Code Size Units

14021 Mini (matches 14050) 10

14031 Midi (matches 14060) 10

14041 Maxi (matches 14070) 10

Coloplast® Pouch Clamp

Simple closure clamp is easy to manipulate,

even for those with low dexterity.

• Not made with natural rubber latex

Units: 20

Code Size HCPCS*

9500 One size A4363

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

2-Piece Click Single Use Kits

SenSura® Mio Click Barrier + Drainable Pouch

• Extended wear

• Barrier #10522 Flat with belt tabs

• Pouch #11483 MAXI / EasiClose™ WIDE Outlet

• Instructions for use

• Stoma measuring guide

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Cut-to-ﬁt / Transparent

21008

⁄8

(10-55 mm)

A4410

A4427

SenSura® Click Standard Wear Barrier

+ Drainable Pouch

• Barrier #10031 Flat with belt tabs

• Pouch #11196 MAXI / EasiClose

™

WIDE Outlet

• Instructions for use

• Stoma measuring guide

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Cut-to-ﬁt / Transparent

11009

⁄8 - 2

⁄4" (10-55 mm)

A4414

A4427

SenSura® Click Standard Wear Barrier

+ Drainable Pouch

• Barrier #11031 Convex Light with belt tabs

• Pouch #11196 MAXI / EasiClose

™

WIDE Outlet

• Instructions for use

• Stoma measuring guide

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Cut-to-ﬁt / Transparent

11010

⁄8 - 1

⁄16" (15-43 mm)

A4373

A4427

2-Piece Click Single Use Kits

Indicates convexity

2-Piece Click Single Use Kits / 2-Piece Flex Single Use Kits

92 www�coloplast�us 1-800-533-0464

SenSura® Click Xpro Extended Wear Barrier +

Urostomy Pouch

• Barrier #10035 Flat with belt tabs

• Pouch #11856 MAXI / soft outlet

• Urostomy adapter

• Instructions for use

• Stoma measuring guide

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Cut-to-ﬁt / Transparent

11004

⁄8 - 2

⁄4" (10-55 mm)

A4409

A4433

2-Piece Flex Single Use Kits

SenSura® Mio Flex Barrier +

MAXI Drainable Pouch

• Extended wear

• Instructions for use

• Stoma measuring guide

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Cut-to-ﬁt / Transparent

21009

⁄8 - 1

⁄8" (10-48 mm)

A4410

A4425

Barrier #10561 Flat, Pouch #12273 EasiClose

™

WIDE Outlet / ﬁlter

21010

⁄8 - 2

⁄4" (10-68 mm)

A4410

A4425

Barrier #10571 Flat, Pouch #12283 EasiClose

™

WIDE Outlet / ﬁlter

21012

⁄8 - 1

⁄8" (10-48 mm)

A4410

A5063

Barrier #10561 Flat, Pouch #12274 EasiClose

™

WIDE Outlet /

without ﬁlter

21013

⁄8 - 2

⁄4" (10-68 mm)

A4410

A5063

Barrier #10571 Flat, Pouch #12284 EasiClose

™

WIDE Outlet /

without ﬁlter

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

2-Piece Flex Single Use Kits

SenSura® Mio Flex + MAXI Urostomy Pouch

• Extended wear

• Urostomy adapter

• Instructions for use

• Stoma measuring guide

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Cut-to-ﬁt / Transparent

110072

⁄8 - 1

⁄8" (10-48 mm)

A4410

A5073**

Barrier #10561 Flat, Pouch #12298 Soft outlet / multi-chamber

SenSura® Mio Flex Convex Barrier +

MAXI Drainable Pouch

• Extended wear

• Instructions for use

• Stoma measuring guide

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Cut-to-ﬁt / Transparent

13660

⁄8 - 1

⁄16" (15-40 mm)

A4407

A4425

Barrier #16483 Convex Light,

Pouch #12273 EasiClose™ WIDE Outlet / ﬁlter

13661

⁄8 - 2

⁄16" (15-53 mm)

A4408

A4425

Barrier #16491 Convex Light,

Pouch #12283 EasiClose™ WIDE Outlet / ﬁlter

SenSura® Mio Flex Convex +

MAXI Urostomy Pouch

• Extended wear

• Urostomy adapter

• Instructions for use

• Stoma measuring guide

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Cut-to-ﬁt / Transparent

13662

⁄8 - 1

⁄16" (15-40 mm)

A4407

A5073**

Barrier #16483 Convex, Pouch #12298 Soft outlet / multi-chamber

Indicates convexity

**Product has not been through PDAC veriﬁcation

94 www�coloplast�us 1-800-533-0464

2-Piece Flex Single Use Kits

SenSura® Flex Standard Wear Barrier

+ MAXI Drainable Pouch

• Instructions for use

• Stoma measuring guide

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Cut-to-ﬁt / Transparent

11011K

⁄8 - 1

⁄8" (10-48 mm)

A4414

A4425

Barrier #10102 Flat, Pouch #11512 EasiClose™ WIDE Outlet / ﬁlter

21001

⁄8 - 2

⁄4" (10-68 mm)

A4415

A4425

Barrier #10103 Flat, Pouch #11517 EasiClose™ WIDE Outlet / ﬁlter

21011

⁄8 - 3

⁄2" (10-88 mm)

A4415

A5063

Barrier #10108 Flat, Pouch #11690 EasiClose™ WIDE Outlet /

without ﬁlter

SenSura® Flex Xpro Extended Wear Barrier

+ MAXI Drainable Pouch

• Instructions for use

• Stoma measuring guide

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Cut-to-ﬁt / Transparent

21002

⁄8 - 1

⁄8" (10-48 mm)

A4409

A4425

Barrier #10105 Flat, Pouch #11512 EasiClose™ WIDE Outlet / ﬁlter

21003

⁄8 - 2

⁄4" (10-68 mm)

A4410

A4425

Barrier #10106 Flat, Pouch #11517 EasiClose™ WIDE Outlet / ﬁlter

SenSura® Flex Xpro Extended Wear Barrier

+ MAXI Drainable Pouch

• Instructions for use

• Stoma measuring guide

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Cut-to-ﬁt / Transparent

21004

⁄8 - 2

⁄16" (15-53 mm)

A4408

A4425

Barrier #11308 Convex Light, Pouch #11517 EasiClose™ WIDE

Outlet / ﬁlter

Indicates convexity

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

Assura® Single Use Kits / 1-Piece Single Use Kits

Assura® Standard Wear Barrier

+ Drainable Pouch

• Barrier #2883 Flat with belt tabs

• Pouch #15976 MAXI / EasiClose

™

WIDE Outlet

• Instructions for use

• Stoma measuring guide

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Cut-to-ﬁt / Transparent

11002

⁄8 - 2

⁄4" (10-55 mm)

A4414

A4427

Assura® Standard Wear Barrier

+ Drainable Pouch

• Barrier #14263 Convex Light with belt tabs

• Pouch #15976 MAXI / EasiClose

™

WIDE Outlet

• Instructions for use

• Stoma measuring guide

• Not made with natural rubber latex

Units: 5

Code Stoma Size Color HCPCS*

Cut-to-ﬁt / Transparent

11001

⁄8 - 1

⁄16" (15-43 mm)

A4373

A4427

1-Piece Single Use Kits

SenSura® Mio 1-piece Single Use Kit

• Extended wear

• Pouch #10481 MAXI / EasiClose

™

WIDE Outlet

• Instructions for use

• Stoma measuring guide

• Not made with natural rubber latex

Transparent Units: 5

Code Cut Stoma Size HCPCS*

21007 Cut-to-ﬁt

⁄8 - 2

⁄8" (10-55 mm) A5056

SenSura® Mio Convex Soft Single Use Kit

• Extended wear

• Pouch #16716 MAXI / EasiClose™ WIDE Outlet / Filter

• Instructions for use

• Stoma measuring guide

• Not made with natural rubber latex

Transparent Units: 5

Code Cut Stoma Size HCPCS*

13665 Cut-to-ﬁt

⁄8 - 2" (10-50 mm) A5057

1-Piece Single Use Kits

96 www�coloplast�us 1-800-533-0464

SenSura® Mio Convex Light Single Use Kit

• Extended wear

• Pouch #16739 MAXI / EasiClose™ WIDE Outlet / Filter

• Instructions for use

• Stoma measuring guide

• Not made with natural rubber latex

Transparent Units: 5

Code Cut Stoma Size HCPCS*

13664 Cut-to-ﬁt

⁄8 - 1

⁄16" (10-43 mm) A5057

SenSura® Mio Soft Convex Urostomy Single Use Kit

• Extended wear

• Pouch #16837 MAXI / EasiClose™ WIDE Outlet / Filter

• Instructions for use

• Stoma measuring guide

• Urostomy adapter

• Not made with natural rubber latex

Transparent Units: 5

Code Cut Stoma Size HCPCS*

13663 Cut-to-ﬁt

⁄8 - 1

⁄16" (10-43 mm) A4393

SenSura® 1-piece Single Use Kit

• Pouch #15521 MAXI / EasiClose

™

WIDE Outlet

• Instructions for use

• Stoma measuring guide

• Not made with natural rubber latex

Transparent Units: 5

Code Cut Stoma Size HCPCS*

11008 Cut-to-ﬁt

⁄8 - 3" (10-76 mm) A4424

Assura® 1-piece Single Use Kit

• Pouch #15860 MAXI / EasiClose

™

WIDE Outlet

• Instructions for use

• Stoma measuring guide

• Not made with natural rubber latex

Transparent Units: 5

Code Cut Stoma Size HCPCS*

11005 Cut-to-ﬁt

⁄8 - 3" (10-76 mm) A4424

SenSura® Xpro 1-piece Urostomy Single Use Kit

• Extended wear

• Pouch #11809 MAXI / soft outlet

• Instructions for use

• Stoma measuring guide

• Urostomy adapter

• Not made with natural rubber latex

Transparent 10

⁄8" (26 cm) / 400 mL Units: 5

Code Cut Stoma Size HCPCS*

21005 Cut-to-ﬁt

⁄8 - 3" (10-76 mm) A4391**

Indicates convexity

1-Piece Single Use Kits / Fistula Accessories: Extra Protection

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

Brava® Elastic Barrier Strips

Skin-friendly strips are used to “picture frame”

around an ostomy barrier, providing extra security.

• Elastic (follow the contours of the body)

• Ensure the position of the barrier and minimize roll-up

• Skin-friendly and secure alternative to tape

• Not made with natural rubber latex

Brava® Elastic Barrier Strips- Curved

For round or oval barrier shapes

Code Size Units HCPCS*

120700

†

5½" strips 20 strips A4362

†

2 strips = 1 billable unit of A4362

Brava® Elastic Barrier Strips- Y shape

Designed for users with challenging body shapes,

e.g. hernias or skin folds

Code Size Units HCPCS*

120721

†

⁄4" strips 30 strips A5121

†

3 strips = 1 billable unit of A5121

Brava® Elastic Barrier Strips- Straight

For square or rectangular barrier shapes

Code Size Units HCPCS*

120740

†

5¼" strips 20 strips A4362

†

2 strips = 1 billable unit of A4362

Brava® Elastic Barrier Strip XL

Designed for increased security & support

around the barrier. Wider shape accommodates

the petals of Convex Flip.

Code Size Units HCPCS*

12076** 6

⁄4" strips 30 strips A5121

**3 strips = 1 billable unit of A5121

Extra Protection

SenSura® Xpro 1-piece Convex Light

Urostomy Single Use Kit

• Extended wear

• Pouch #11819 MAXI / soft outlet

• Instructions for use

• Stoma measuring guide

• Urostomy adapter

• Not made with natural rubber latex

Transparent 10

⁄8" (26 cm) / 400 mL Units: 5

Code Cut Stoma Size HCPCS*

21006 Cut-to-ﬁt

⁄8 - 1

⁄16" (15-33 mm) A4393**

**Product has not been through PDAC veriﬁcation

www.coloplast.us 1-800-533-0464

Brava® Protective Seal

Moldable barrier ring designed to adhere securely

and protect the skin around the stoma.

• Soft, flexible material adapts to body shape

as the wearer bends and stretches

• Can be easily and cleanly removed

• Alcohol-free and sting-free

• Multiple sizes for a custom fit

• Not made with natural rubber latex

Code

Stoma

size

Adhesive

diameter

Thickness Seal width Units HCPCS*

12035 ¾” 1

” 2.5 mm Standard (

”) 10 A4385

12036 ¾” 2 ¼” 2.5 mm Wide (¾”) 10 A4385

12038 ¾” 2 ½” 2.5 mm Wide (

”) 10 A4385

12037 1

” 2 ¼” 2.5 mm Standard (

”) 10 A4385

12039 1

” 2 ½” 2.5 mm Standard (

”) 10 A4385

12045 ¾” 1

” 4.2 mm Standard (

”) 10 A4385

12046 ¾” 2 ¼” 4.2 mm Wide (¾”) 10 A4385

12048 ¾” 2 ½” 4.2 mm Wide (

”) 10 A4385

12047 1

” 2 ¼” 4.2 mm Standard (

”) 10 A4385

12049 1

” 2 ½” 4.2 mm Standard (

”) 10 A4385

12032 ¾”

2.5 mm Extra wide

”)

10 A4385

12033 1

”

2.5 mm Extra wide

(

”)

10 A4385

Brava® Protective Seal Convex

Moldable barrier ring designed to provide

convexity for flush or retracted stomas.

• High-tack adhesive that adheres quickly

to the skin, filling small creases, folds, or

scarring around the stoma

• Erosion resistant composition

• High flexibility to maintain seal during body movement

• Steep sides designed to provide convexity to peristomal area

• Thin edges fit snugly around peristomal area

• Not made with natural rubber latex

Code Stoma size Thickness Units HCPCS*

12090 ¾” 8.2mm 10 A4411

12091 1” 8.2mm 10 A4411

12092 1

” 8.2mm 10 A4411

12093 1

” 8.2mm 10 A4411

12094 1

” 8.2mm 10 A4411

12095 1¾” 8.2mm 10 A4411

Fistula Accessories: Extra Protection

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

Brava® Moldable Ring

Designed for dual-action leakage reduction - used to

fill in uneven skin surfaces and protect the skin.

• Molds and adheres securely to dips, creases,

and folds to help create a tight seal around

the stoma

• Helps keep skin healthy by protecting it from

output and absorbing moisture from the skin

• Easy to handle, mold and apply

• Alcohol-free and sting-free

• Not made with natural rubber latex

Code Size Units HCPCS*

120307 2 mm (thin) 10 A4385

120427 4.2 mm (thick) 10 A4385

Brava® Strip Paste

Pectin-based product that protects peristomal skin.

• Protects peristomal skin from stoma output

• Used to fill uneven skin surfaces to create a flat

pouching surface

• Alcohol-free and sting-free

• Not made with natural rubber latex

Code Size Units HCPCS*

26555

2 oz. total package

(.2 oz. per strip)

10 strips A4406

Brava® Paste

A sting-free alternative to conventional alcohol-based paste.

• Creates a tight, effective seal between peristomal

skin and the ostomy/fistula appliance

• No alcohol = no need to “set”; contains pectin

• Not made with natural rubber latex

Code Size Units HCPCS*

12050 2 oz. 1 A4406

Coloplast® Paste

Used to fill in uneven skin surfaces to create a

flat pouching surface.

• Provides tight sealing around the stoma

• Protects against stoma output, minimizing risk of maceration

• Low alcohol content; no pectin

• Not made with natural rubber latex

Code Size Units HCPCS*

2650 2 oz. 12 A4405

Fistula Accessories: Caring for skin

100 www�coloplast�us 1-800-533-0464

Brava® Skin Cleanser Wipes

The wipe that cleans and cares. A convenient

way to cleanse and maintain healthy skin when

changing the ostomy pouching system.

• Contains ProVitamin B5 to provide a

soothing and moisturizing effect

• Does not contain alcohol or perfumes

• No residue left on the skin that could affect barrier adhesion

• Not made with natural rubber latex

Code Size Units HCPCS*

12080 1 wipe 15 wipes/pack A9286**

Brava® Lubricating Deodorant

A pouch lubricant + deodorizer in one. Powder-fresh

liquid reduces odor and allows output to slide to the

bottom of the pouch for easier emptying.

• Not made with natural rubber latex

Code Size Units HCPCS*

12060 .25 ﬂ. oz. (7.5 mL)

sachet

20 sachets A4394

12061 8 oz. bottle 16 A4394

Brava® Adhesive Remover Spray

• Designed to lift the edges of the barrier for ease

in removal

• Dry within seconds without leaving an oily

residue behind

• Alcohol-free, silicone-based, and sting-free

• Not made with natural rubber latex

Code Size Units HCPCS*

120105 1.7 oz. (50 mL) 1 A4455**

Brava® Adhesive Remover Wipes

• Wipe away adhesive residue

• Dry within seconds without leaving an oily

residue behind

• Alcohol-free, silicone-based, and sting-free

• Not made with natural rubber latex

Code Size Units HCPCS*

120115 1 wipe 30 wipes/box A4456**

Fistula Accessories: Caring for skin

101

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

Brava® Skin Barrier Spray

• Protects against stoma output and adhesives

• Dry within seconds without building a thick or tacky layer

• Alcohol-free, silicone-based, and sting-free

• Not made with natural rubber latex

Code Size Units HCPCS*

120205 1.7 oz. (50 mL) 1 A4369**

Brava® Skin Barrier Wipes

• Protects against stoma output and adhesives

• Dry within seconds without building a thick or tacky layer

• Tip: wring the wipe like a wet rag to expel the liquid,

then wipe to disperse on skin

• Alcohol-free, silicone-based, and sting-free

• Not made with natural rubber latex

Code Size Units HCPCS*

120215 1 wipe 30 wipes/box A5120**

**Product has not been through PDAC veriﬁcation

102 www�coloplast�us 1-800-533-0464

Assess your patient’s overall peristomal area as a

Regular, Inward, or Outward

Visit www�bodycheck�coloplast�us

to complete the assessment

Receive personalized ostomy solutions

(may include accessory options)

Regular Inward Outward

BodyCheck

Identifying ostomy solutions based on individual needs

Together with 300 Wound, Ostomy, Continence (WOC)

nurses, we've developed BodyCheck body proﬁle

assessment which uses Body Proﬁle Terminology, a

common language to describe the peristomal body proﬁle�

Visit www�bodycheck�coloplast�us

For little fighters

Babies and kids present different pouching challenges than

adults - so we've applied BodyFit Technology to develop

specific solutions for different stages in a child's life.

Pediatric

Stepping up over time, as kids grow

Henry

Making life easier

Kids mini

”

(first fold)

Kids midi

”

Adult midi

”

Adult maxi

”

Pediatric

Ask us about our pediatric education!

Pediatric FAQ

A quick tipsheet

with answers to

frequently asked

questions, like "what

do I do if friends and

family - or other kids

- have questions?"

and "what do I do if my child pulls

the pouch off?"

Caregivers can request this via our

Coloplast® Care program.

My Child Has An

Ostomy:

A Resource Sheet

for Caregivers

A fill-in-the-blank

sheet to help parents

communicate about

their child's needs to

day care providers, school nurses,

and other caregivers.

Caregivers can request this via our

Coloplast® Care program.

Life After Your

Child’s Ostomy

A high-level

overview of

anatomy, how to

change a pouch,

pouching system

options, where to get

supplies, dietary notes, and other

information in English or Spanish.

Caregivers can request this via our

Coloplast® Care program.

When I Met Tipster:

A coloring book

for children with

ostomies

A simple coloring

book to help kids

engage with their

ostomy surgery and

"new normal" - or learn more about

a sibling's ostomy.

Available to hospitals via Coloplast

sales representatives, or to caregivers

via our Coloplast® Care program.

Jake Gets a Stoma

A children's book

written by Jake's

mom, who wanted a

better way to explain

the surgery and stoma management

to her son and other kids going

through the same thing.

Available to hospitals via Coloplast

sales representatives, or to caregivers

via our Coloplast® Care program.

SenSura® Mio Bunny

Coloplast offers

a complimentary

training bunny for

product education

use with both

SenSura® Mio

Baby & Kids. Contact your sales

representative for more information.

Limitations apply. The SenSura®

Mio bunny is provided to healthcare

providers to offer to families

for teaching purposes only and

should only be used with Coloplast

products.

Teen Life with an

Ostomy

Navigating school,

what to wear, and

hanging out with

friends aren't covered

by the average adult-

oriented materials -

that's why we're so excited to feature

tips from Paige, a teen who's been

through it all!

Available to patients via our

Coloplast® Care program.

Caring for a child after any surgery can be a learning process.

But when children are recovering from surgery and getting

used to a pouching system, it can pose more challenges for

parents and caregivers.

It often takes adults with an ostomy many months to feel fully

comfortable with the change to the body. Depending on age,

personality and ability to adapt, the same may be true for

your child—and for you as well. In some cases both you and

the child may need to adapt to the changes, and practice

patience, until living with an ostomy becomes a perfectly

natural part of your daily routine.

What should I know about the skin

near the stoma?

It’s hard to overstate the importance of maintaining the

health of skin around the stoma. The skin under the ostomy

barrier should look a lot like the skin on the rest of the

abdomen. Skin that’s healthy is much less likely to become

irritated. The pouching system also attaches better to

healthy skin.

How do I keep my child’s skin healthy?

There are things you can do to prevent stool or urine from

coming into contact with skin around the stoma. And even if

the skin does become irritated, proper care should return

your child’s skin to good health.

• When cleaning the skin near the stoma, use water. If there

is any adhesive residue on the skin after cleansing, leave it

alone.

• Avoid using bath oils, or soaps with moisturizers and

perfumes, since they can make it harder for the barrier to

adhere to skin. Make sure not to apply lotion to the skin

near the stoma, as this can also make the barrier not stick.

• Before applying the barrier, make sure the skin is clean and

completely dry.

• Adjust the hole in the barrier so that it ﬁts exactly to the

diameter of the stoma. Do not leave any skin exposed.

• Periodically check the size of the stoma. If there are any

changes in stoma size, be sure to adjust the hole size of the

barrier.

• Ensure tight contact between the skin and the barrier by

using your hand to put light pressure over the barrier for

two or three minutes.

• Change the barrier as soon as you can if you notice any

discomfort, itching or leaking.

• Your child can bathe with or without the pouching system

on. Just be sure to use a mild skin cleanser and rinse the

skin around the stoma thoroughly with water.

Wellness Education

Frequently asked questions for parents and caregivers

Wellness Education

A resource sheet for caregivers, teachers and school nurses

Note to caregivers

My child has an ostomy. This sheet tells you a little about

ostomy surgery, how to care for an ostomy and other

information that may be useful while my child is in your care.

An ostomy is the surgical creation of an opening in the

abdomen. This opening, also called a stoma, allows stool

(bowel movement) or urine to drain from the body.

There are many reasons why an infant or child may need an

ostomy, and quite often it is a life-saving operation. There are

three different types of ostomies. Both an ileostomy and a

colostomy are made from a portion of the intestine, and both

drain stool. An ileostomy is formed from the small intestine; the

stool is often somewhat liquid in nature. A colostomy is created

from the large intestine; the stool is usually more formed, or

solid. A urostomy, which is creates a new pipeline for urine to

exit the kidneys and ureters from the body, drains urine.

My child has a/an

A stoma is red and moist and looks and feels much like the

skin on the inside of the cheek. The stoma doesn’t hurt when

it is touched or cleansed. Because it has a rich blood supply,

a stoma may even bleed a little when touched during care.

Since someone with an ostomy cannot control when urine or

stool drains from the stoma, a plastic pouch will need to be

worn at all times. The pouch is held on the body with an

adhesive patch called a skin barrier. The barrier has a hole in

the middle just large enough for the stoma. It’s called a “skin

barrier” since it not only holds the pouch onto the body, it

also protects the skin around the stoma so that no stool or

urine touches the skin.

Ostomy care: Emptying the pouch

Some ostomy pouches have an opening at the end from

which the contents can be drained. This type of pouch must

be emptied periodically. As a general rule, a pouch should be

emptied when it is 1/3 full of gas, stool or urine. (A full pouch

is more difﬁcult to empty. It can also become heavy and

cause the adhesive to pull loose from the skin.)

My child’s pouch needs to be emptied every

hours, at

approximately these times of day:

My child needs help emptying the pouch.

My child does not need help emptying the pouch.

Tips

• Empty the pouch before naptime and bedtime, or before

trips in the car.

• After emptying, wipe the bottom of the pouch with tissue or

a wet wipe before closing.

• If disposable diapers are worn, you can empty the pouch

content into the diaper when you are changing the diaper.

• Do not clean, rinse or ﬂush out the inside of the pouch

when the child is wearing it. This may weaken the skin

barrier seal and cause urine or stool to seep under any

openings and onto the skin.

If my child’s pouch needs care, follow these steps /guidelines:

Child’s Name: Child’s Age:

Written by Kimberly LaRose

Illustrated by Sara J Weingartner

Tipster

When I met

A child’s story about

living with a stoma

Teen life with an ostomy 1

Teen life with

an ostomy

Paige,

Ileostomate

Information from Coloplast Care is for educational purposes only. It is not intended

to substitute for professional medical advice and should not be interpreted to

contain treatment recommendations. You should rely on the healthcare professional

who knows your individual history for personal medical advice and diagnosis.

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

2-Piece SenSura® Mio Baby

105

SenSura® Mio Baby

2-piece pouching system designed with BodyFit

Technology to tackle the challenges of preemies and

babies from 30 weeks of gestation to 6 months of age.

SenSura® Mio Baby Flex 2-Piece Barrier

• Oval barrier accommodates one or multiple stomas

• No starter hole – custom cut

• Gentle adhesive sticks securely and removes gently with

Brava® Baby Adhesive Remover

• Soft ﬂange enables the pouch to be removed and replaced

• Sterilized surface, single-packed

• Not made with natural rubber latex

Cut-to-ﬁt Units: 5

Code Stoma Size Color HCPCS*

18705 0 - 1

/16’’ (0-40 mm) A4414

SenSura® Mio Baby Flex 2-Piece Pouch

• Adhesive coupling is easy to apply and remove

• Access window

• Soft outlet ﬁts to enteral feeding systems

• Sterile, single-packed

• Not made with natural rubber latex

Transparent, No ﬁlter Units: 10

Code Color HCPCS*

18700 A5063

Brava® Baby Adhesive Remover

• Oil-based adhesive remover designed speciﬁcally

for babies

• Liquid sachet (no wipe) can be used with cotton swabs

or gauze

• Gently removes adhesive / adhesive residues from SenSura® Mio

Baby Barrier

• Not recommended for use with SenSura Mio Kids or adult products

• Not made with natural rubber latex

Units: 30

Code Size HCPCS*

12014 3 mL sachet A4455

www.coloplast.us 1-800-533-0464

2-Piece SenSura® Mio Kids

106

SenSura® Mio Kids

1-piece and 2-piece pouching systems designed with

BodyFit Technology to ﬁt kids’ active movements and

rounded bellies. Designed with options to step up as kids

grow, the range covers kids 6 months to 4 years of age

(larger options for older kids are found in the SenSura Mio

adult line).

SenSura® Mio Kids Flex 2-Piece Barrier

• Star-shaped, elastic barrier can be rotated for

ﬂexibility in placement

• No starter hole – custom cut

• Not made with natural rubber latex

Cut-to-ﬁt Units: 5

Code Stoma Size Color HCPCS*

18735 0 - 1

/16’’ (0-27 mm) A4414

18747 0 - 1

/8’’ (0-35 mm) A4414

SenSura® Mio Kids Flex 2-Piece MINI

Drainable Pouch

• EasiClose™ Outlet

• Full-circle ﬁlter

• Neutral gray, water-resistant textile

• Small size enables kids to step up in pouch size

over time

• Opaque includes inspection window

• Not made with natural rubber latex

/8” folded Units: 10

Code Code Color HCPCS*

Transparent Opaque

18721 18720

A4425

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

2-Piece SenSura® Mio Kids

107

SenSura® Mio Kids Flex 2-Piece MIDI

Drainable Pouch

• EasiClose™ Outlet

• Full-circle ﬁlter

• Neutral gray, water-resistant textile

• Opaque includes inspection window

• Not made with natural rubber latex

6¾” folded Units: 10

Code Code Color HCPCS*

Transparent Opaque

18723 18722

A4425

18725 18724 A4425

SenSura® Mio Kids Flex 2-piece MIDI

Urostomy Pouch

• Neutral gray, water-resistant textile

• Soft outlet can be connected to a drain bag for

nighttime use, or a leg bag for kids in a wheelchair

• Not made with natural rubber latex

Opaque 6¾” folded Units: 10

Code Color HCPCS*

18730

A5073

18731

A5073

www.coloplast.us 1-800-533-0464

1-Piece SenSura® Mio Kids

108

SenSura® Mio Kids 1-Piece MIDI

Drainable Pouch

• Star-shaped, elastic barrier with no starter hole –

custom cut

• EasiClose™ Outlet

• Full-circle ﬁlter

• Neutral gray, water-resistant textile

• Opaque includes inspection window

• Not made with natural rubber latex

6¾” folded | Cut-to-ﬁt Units: 10

Code Code Stoma size HCPCS*

Transparent Opaque

18711 18710

0 – 1

/8” (0-35 mm)

A4424

SenSura® Mio Kids 1-Piece MIDI

Urostomy Pouch

• Star-shaped, elastic barrier with starter hole

• Neutral gray, water-resistant textile

• Soft outlet can be connected to a drain bag for

nighttime use, or a leg bag for kids in a wheelchair

• Not made with natural rubber latex

Units: 10

Code Code Stoma size HCPCS*

Transparent Neutral gray

18712 18713

/8 - 1

/8” (10-35 mm)

A5071

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

2-Piece Assura® AC Pediatric

109

Assura® AC (Adhesive Coupling) Pediatric

A simple, soft, secure system for neonates! This

ostomy pouching system is based on adhesives

that make it easy to apply the pouch to the

barrier. The pouching system is easy to clean,

and simple to handle with the EasiClose

standard integrated outlet.

Assura® AC Pediatric Flat Barrier

• Standard wear

• No starter hole

• Not made with natural rubber latex

Cut-to-ﬁt Units: 10

Code Stoma Size Color HCPCS*

14307 0 -

⁄8" (0-17 mm) A4414

14308 0 - 1" (0-27 mm) A4414

Assura® AC Pediatric Drainable Pouch

• EasiClose

™

Outlet

• Filter

• Soft cloth on back

• Not made with natural rubber latex

Units: 10

Code Code Length Color HCPCS*

Transparent Opaque

(Teddy Bear)

14681 14691 5

⁄2" (14 cm) A4425

14682 14692 6

⁄2" (16 cm) A4425

www.coloplast.us 1-800-533-0464

2-Piece Assura® Pediatric

110

Assura® 2-piece Pediatric Pouching Systems

Speciﬁcally developed adhesive and a smaller barrier size are

ideal for pediatrics, while a mix-and-match “green" ﬂange size

offers versatility. The SenSura® and Assura® pouches and barrier

may be used interchangeably with “green"-sized adult SenSura®

Click or Assura® products for a broad array of pouching options.

Assura® Pediatric Standard Wear Barrier

• Flat

• Not made with natural rubber latex

Cut-to-ﬁt Units: 5

Code Color HCPCS*

2182

⁄88 - 1

⁄88" (10-35 mm) A4414

Assura® Pediatric Drainable Pouch

• Clamp closure

• Soft cloth on back

• Not made with natural rubber latex

Transparent 8

⁄22" (21 cm) / 150 mL Units: 10

Code Color HCPCS*

2156 A4426

Assura® Pediatric Closed Pouch

• Soft cloth on front and back

• Not made with natural rubber latex

Opaque 5

⁄44" (14

⁄22 cm) Units: 30

Code Color HCPCS*

2161 A4423

Assura® Stoma Cap

• With ﬁlter

• Small size is optimal for swimming at the pool

• Not made with natural rubber latex

Opaque Units: 30

Code Color HCPCS*

2801 A5055

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

2-Piece Assura® Pediatric

111

Assura® Pediatric Urostomy Pouch

• Soft outlet can be connected to a drain bag for

nighttime use, or a leg bag for kids in a

wheelchair - see page 16 for options

• Soft cloth on back

• Not made with natural rubber latex

Transparent 8

⁄22" (21 cm) / 150 mL Units: 10

Code Color HCPCS*

1789 A4433

Assura® Urostomy Micro-Pouch

• Miniature size prevents twisting

• Soft outlet can be connected to a drain bag for

nighttime use, or a leg bag for people in a

wheelchair

• Soft cloth on front

• Not made with natural rubber latex

Transparent 6" (15

cm) Units: 10

Code Color HCPCS*

14204 A4433

Assura® Urostomy Minicap

• Ultra-absorbent material inside

• Small size is optimal for swimming at the pool

• Not made with natural rubber latex

Opaque 100 mL Units: 30

Code Color HCPCS*

2807 A5055

www.coloplast.us 1-800-533-0464

1-Piece ColoKids™ Pediatric

112

ColoKids

™

1-piece Pediatric Pouching Systems

Specially developed Assura® “swiss roll" technology provides

moisture absorption and balance while offering consistent tack and

adhesion to the skin. Small pouch sizes provide a pediatric-friendly

pouching option.

ColoKids

™

Flat 1-piece

Drainable Pouch

• Standard wear

• Clamp closure

• Soft cloth on back

• Not made with natural rubber latex

Transparent Units: 10

Code Cut Stoma Size HCPCS*

2115 Cut-to-ﬁt

⁄8 - 1

⁄8" (10-35 mm) A5061

ColoKids

™

Flat 1-piece

Closed Pouch

• Standard wear

• Soft cloth on back

• Not made with natural rubber latex

Transparent Units: 30

Code Cut Stoma Size HCPCS*

2125 Cut-to-ﬁt

⁄8 - 1

⁄8" (10-35 mm) A4416

ColoKids

™

Flat 1-piece

Urostomy Pouch

• Standard wear

• Soft outlet can be connected to a drain bag for

nighttime use, or a leg bag for people in a wheelchair

• Soft cloth on back

• Not made with natural rubber latex

Transparent Units: 10

Code Cut Stoma Size HCPCS*

8009 Cut-to-ﬁt

⁄8 - 1

⁄8" (15-35 mm) A5071

* For important information regarding the use of HCPCS codes listed and code

definitions see page 120

Pediatric Accessories: Caring for skin

113

Brava® supporting products

Pediatric weight thresholds

How does Coloplast define pediatric age / weight parameters

as relate to products?

• Premature: 30+ gestational weeks

• Neonate: 0-6 months

• Toddler: 6 months – 4 years

Product name Caution

Conversion

(kg to lbs�)

Approximate

minimum age

Brava® Elastic

Barrier Strips

Not recommended for

children below 5.6 kg

12.34 lbs. Toddler

Brava®

Protective

Seal

Not recommended for

children below 5.6 kg

12.34 lbs. Toddler

Brava®

Moldable Ring

Not recommended for

children below 7.2 kg

15.87 lbs. Toddler

Brava® Strip

Paste

Not recommended for

children below 2.6 kg

5.73 lbs. Neonate

Brava® Paste

(tube paste)

Not recommended for

children below 6 kg

13.22 lbs. Toddler

Brava®

Adhesive

Remover Wipe

Not recommended for

children below 2.4 kg

5.29 lbs. Neonate

Brava®

Adhesive

Remover

Spray

Not recommended for

children below 5.6 kg

12.34 lbs. Toddler

Brava® Baby

Adhesive

Remover

Not recommended for

children below 2.4kg

5.29 lbs. Neonate

Brava® Skin

Barrier Wipe

Not recommended for

children below 2.4 kg

5.29 lbs. Neonate

Brava® Skin

Barrier Spray

Not recommended for

children below 5.6 kg

12.34 lbs. Toddler

Brava® Skin

Cleanser

Not recommended for

children below 2.4 kg

5.29 lbs. Neonate

Brava®

Protective

Sheet

Not recommended for

children below 7 kg

15.43 lbs. Toddler

Brava® Belt Does not fit kids - -

Brava®

Lubricating

Deodorant

Not recommended for

children

- -

Brava®

Powder

Not recommended for

children below 5.6 kg

12.34 lbs. Toddler

kg to Ibs� kg to Ibs�

1 kg = 2.20 lbs. 6.0 kg = 13.22 lbs.

2.4 kg = 5.29 lbs. 7.0 kg = 15.43 lbs.

2.6 kg = 5.73 lbs. 7.2 kg = 15.87 lbs.

5.6 kg = 12.34 lbs.

www.coloplast.us 1-800-533-0464114

Night Drainage Bags

Urostomy Night Bag and Bag Hanger

See Accessories page 16 for more information.

Reference Tools

Gabriela

Making life easier

Coloplast® Care is the only

manufacturer-provided patient

support program with better

patient outcomes supported by

peer-reviewed data.

About the team

Coloplast® Care Advisors assist patients with their intimate

healthcare needs. They are available Monday through

Friday from 7 a.m. to 7 p.m. (CT). The team offers one-on-

one assistance for the following:

Quality of life guidance

Our team can answer questions regarding product lines,

routines that will fit their lifestyle, and encourage self-

assessments for ongoing wellness support.

Connecting to the care network

Coloplast Care can help locate a medical supplies dealer

in-network with your patient's insurance to ensure that

they have access to the correct products.

Community resources

Coloplast Care Advisors also provide awareness of

resources in communities where your patients live, such as

support groups, events, or conferences. The Advisors can

also offer free samples*, if needed, from the Coloplast

ostomy and continence product lines.

For ostomy: visit

www.ostomy.coloplastcare.us or call

1-877-858-2656 to enroll your patients today.

For continence: visit

bladder.coloplastcare.us or call

1-866-226-6362 to enroll your patients today.

For Peristeen® inquiries, visit

coloplastcare.us/bowel or

call

1-855-605-7594 for more information.

Reference Tools

* Limitations apply. SpeediCath®, Self-Cath® and SureCath® catheters

are available by prescription only. Samples are not available for

Peristeen.

Information from Coloplast Care is for educational purposes only. It is

not intended to substitute for professional medical advise and should

not be interpreted to contain treatment recommendations.

117Coloplast

Ostomy Self-Assessment Tools

• BodyCheck

• Ostomy Check

• Troubleshooter

• Apply-Remove-Check (ARC)

Diaries:

• Pouch change diary

• Exercise diary

• Hernia prevention action plan

• Ostomy Wellness Output Diary

Educational Guides

• Life After: Ileostomy

• Life After: Colostomy

• Life After: Urostomy

• Life After: Your Child’s Ostomy

• Teen Life with an Ostomy

ColoplastCareConnect is the new easy online

portal for enrolling your patients and access to

team documentation. Scan below to enroll your

patients or to view your dashboard of electronic

submissions:

Coloplast® Care Connect

Contact your rep if you need access.

The following materials are presented for general purposes only. They

do not constitute medical advice and should not be a substitute for

consultation with a trained medical professional.

The information presented or discussed may not be representative

of all patient outcomes. Each person's situation is unique and risks,

outcomes, experience, and results may vary. Please see complete

product instructions for use, including all product indications

contraindications, precautions and warnings, and adverse events.

Ostomy Care Education

118 www.coloplast.us 1-800-533-0464

Product Pictorial Guide - Also available in Spanish

NOTE: These are abbreviated instructions designed to

visually show how to use the product. Always refer to the

product labeling (including the package insert) before

using.

• SenSura® Mio 1-piece Pouching System

• SenSura® Mio Click 2-piece Pouching System

• SenSura® Mio Flex 2-piece Pouching System

• SenSura® 1-piece Pouching System

• SenSura® Click 2-piece Pouching System

• SenSura® Flex 2-piece Pouching System

• Fistula Wound Management System

• SenSura® Mio 1-piece Urostomy Pouching System

• SenSura® Mio Click 2-piece Urostomy Pouching

System

• SenSura® Mio Flex 2-piece Urostomy Pouching System

• SenSura® Mio Baby 2-piece Flex Barrier, pouch, and

Brava® Baby Adhesive Remover

Spanish Educational Tools

Educational Guides

• La Vida Después de la Colostomía Life After:

Colostomy

• La Vida Después de la Ileostomía Life After: Ileostomy

• La Vida Después de la Urostomía Life After: Urostomy

Other languages also available in digital format only:

Arabic, Chinese, Russian and Vietnamese

For additional educational resources, visit

www�coloplast�us

Ostomy Care Education

119Coloplast

Ostomy Education

Online Learning with

CE Contact Hours

Courses for Healthcare

Professionals working in

continence, ostomy and wound

clinical spaces.

Expert Education Programs

Live or virtual education on a

variety of clinical topics presented

by content experts, providing

interactive learning experiences.

Facility-led Education

Train the Trainer courses

include slide presentations,

training resources, toolkits and

more to help you facilitate a

meaningful training experience.

Education Resources

Videos, podcasts and printables

designed to support your patients

with product questions and needs

in everyday situations and help

you promote positive outcomes

for your patients.

Website - www.coloplast.us/professional

Email - CProfessional_US@coloplast.us

Focus on

YOUR

education

120 www.coloplast.us 1-800-533-0464120

Medicare Utilization - Ostomy

Usual maximum limits for some products from the Medicare Local

Coverage Determinations (LCD) are shown below. The amount of

ostomy supplies varies by patient based on the type of ostomy, its

location, its construction, and the condition of the peristomal skin.

The table below shows the maximum number of items that are

usually medically necessary for patients with ostomies. It may be

more or less depending on the factors that affect the frequency

of barrier and pouch change. The medical necessity for a greater

quantity of supplies must be clearly documented in the patient’s

medical record (physician’s signed and dated order).

HCPCS* Short Description Usual Maximum

A4357 Bedside drainage bag 2 ea/month

A4361 Ostomy faceplate, each 3 ea/6 months

A4362 Skin barrier, solid, 4x4 or equivalent; each* 20 ea/month

A4363 Ostomy clamp replacement none*

A4367 Ostomy belt, each 1 ea/month

A4368 Ostomy ﬁlter none*

A4369 Ostomy skin barrier; liquid, per ounce 2 oz./month

A4371 Ostomy skin barrier powder, per ounce 10 oz/6 months

A4372 Ostomy skin barrier, 4 x 4, standard wear,

CONVEX

none*

A4373 Ostomy skin barrier, with ﬂange, CONVEX none*

A4385 Ostomy skin barrier, 4 x 4, extended wear,

FLAT

none*

A4388 One-piece ostomy drainable pouch and

barrier, extended wear, FLAT

none*

A4389 One-piece ostomy drainable pouch and

barrier, CONVEX

none*

A4390 One-piece ostomy drainable pouch,

extended wear barrier, CONVEX

none*

A4391 One-piece urinary pouch, extended wear

barrier, FLAT

none*

A4392 One-piece urinary pouch, standard wear

barrier, FLAT

none*

A4394 Ostomy deodorant per ounce none*

A4397 Ostomy irrigation supply; sleeve, each 4 ea/month

• HCPCS code A4397 will be discontinued effective 12/31/2021. Effective

1/1/2022 CMS has established two new HCPCS codes to distinguish

between reusable and disposable sleeves:

- A4436 Irrigation supply, sleeve, reusable TBD

- A4437 Irrigation supply, sleeve, disposable TBD

A4398 Ostomy irrigation supply; bag, each 2 ea/6 months

A4399 Ostomy irrigation supply; cone/catheter,

with or without brush

2 ea/6 months

A4404 Ostomy ring, each 10 ea/month

A4405 Ostomy skin barrier, non-pectin based,

paste, per ounce

4 oz/month

A4406 Ostomy skin barrier, pectin-based, per ounce 4 oz/month

A4407 Two-piece ostomy skin barrier, with

ﬂange, extended wear, CONVEX, (4 x 4

inches or smaller)

none*

A4408 Two-piece ostomy skin barrier, with ﬂange

extended wear, CONVEX, (larger than 4 x

4 inches)

none*

A4409 Two-piece ostomy skin barrier, with

ﬂange, extended wear, FLAT, (4 x 4 inches

or smaller)

none*

* No published Medicare usual maximum. Monthly quantity subject to medical

necessity documentation.

**Elastic Barrier Strips - Curved or Straight: 40 strips/month

Medicare Utilization –

Ostomy

121Coloplast 121

Medicare OstomyUtilization –

HCPCS* Short Description Usual Maximum

A4410 Two-piece ostomy skin barrier, with

ﬂange, extended wear, FLAT, (larger than

4 x 4 inches)

none*

A4411 Two-piece ostomy solid skin barrier,

extended wear, CONVEX

none*

A4412 Two-piece high output ostomy drainable

pouch without ﬁlter

none*

A4413 Two-piece high output ostomy drainable

pouch with ﬁlter

none*

A4414 Two-piece ostomy skin barrier with ﬂange,

FLAT (4x4 inches or smaller)

20 ea/month

A4415 Two-piece ostomy skin barrier, with

ﬂange, FLAT, greater than 4 x 4 inches

20 ea/month

A4416 One-piece ostomy closed pouch and

barrier with ﬁlter, FLAT

60 ea/month

A4417 One-piece ostomy closed pouch and

barrier with ﬁlter, CONVEX

60 ea/month

A4418 One-piece ostomy closed pouch with ﬁlter

and barrier

60 ea/month

A4419 Two-piece ostomy closed pouch with ﬁlter

for non-locking system

60 ea/month

A4423 Two-piece ostomy closed pouch with ﬁlter

for locking system

60 ea/month

A4424 One-piece ostomy drainable pouch and

barrier with ﬁlter, FLAT

20 ea/month

A4425 Two-piece ostomy drainable pouch with

ﬁlter for non-locking system

20 ea/month

A4426 Two-piece ostomy drainable pouch

without ﬁlter for locking system

20 ea/month

A4427 Two-piece ostomy drainable pouch with

ﬁlter for locking system

20 ea/month

A4433 Two-piece ostomy urinary pouch for

locking system

20 ea/month

A4436

Irrigation supply, sleeve, reusable, per month

• Effective 1/1/2022

TBD

A4437

Irrigation supply, sleeve, reusable, per month

• Effective 1/1/2022

TBD

A4455 Adhesive remover or solvent, per ounce 16 oz/6 months

A4456 Adhesive remover, wipes none*

A5055 Stoma cap 31 ea/month

A5056 One-piece drainable ostomy pouch,

extended wear with ﬁlter

40 ea/month

A5057 One-piece drainable ostomy pouch

extended wear with ﬁlter, CONVEX

40 ea/month

A5061 One-piece ostomy drainable pouch and

barrier, FLAT

20 ea/month

A5063 Two-piece ostomy drainable pouch for

barrier with ﬂange

20 ea/month

A5071 One-piece ostomy urinary pouch 20 ea/month

A5073 Two-piece ostomy urinary pouch 20 ea/month

A5081 Stoma plug or seal 31 ea/month

A5120 Skin barrier, wipes or swabs, each 150 ea/6 months

A5121 Solid skin barrier, 6x6 or equivalent, each** 20 ea/month

A5122 Solid skin barrier, 8x8 or equivalent, each 20 ea/month

A6154 Wound pouch, each 3/week

* No published Medicare usual maximum. Monthly quantity subject to

medical necessity documentation.

**Elastic Barrier Strips - Y-shape: 60 strips/month

122 www.coloplast.us 1-800 -533-0464

HCPCS Codes

HCPCS Code Reference

A4357 Bedside drainage bag, day or night, with or without

anti-reﬂux device, with or without tube, each

A4361 Ostomy faceplate, each

A4362 Solid skin barrier; solid, 4x4 or equivalent; each

A4363 Ostomy clamp, any type, replacement only, each

A4366 Ostomy vent, any type, each

A4367 Ostomy belt, each

A4368 Ostomy ﬁlter, any type, each

A4369 Ostomy skin barrier liquid (spray, brush, etc.), per ounce

A4371 Ostomy skin barrier powder, per ounce

A4372 Ostomy skin barrier, solid 4x4 or equivalent, standard

wear, with built-in convexity, each

A4373 Ostomy skin barrier, with ﬂange (solid, ﬂexible or accordion),

with built-in convexity, any size, each

A4385 Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear,

without built-in convexity, each

A4388 Ostomy pouch, drainable, with extended wear barrier

attached, (1 piece), each

A4389 Ostomy pouch, drainable, with barrier attached, with built-in

convexity (1-piece), each

A4390 Ostomy pouch, drainable, with extended wear barrier

attached, with built-in convexity (1-piece), each

A4391 Ostomy pouch, urinary, with extended wear barrier attached

(1-piece), each

A4392 Ostomy pouch, urinary with standard wear barrier attached,

with built-in convexity (1-piece), each

A4393 Ostomy pouch, urinary, with extended wear barrier

attached, with built-in convexity (1 pc), each

A4394 Ostomy deodorant, with or without lubricant, for use in

ostomy pouch, per ﬂuid ounce

A4396 Ostomy belt with peristomal hernia support

A4397 Irrigation supply; sleeve, each

A4398 Ostomy irrigation supply; bag, each

A4399 Ostomy Irrigation supply; cone /catheter, with or without

brush

A4404 Ostomy ring, each

A4405 Ostomy skin barrier, non-pectin based, paste, per ounce

A4406 Ostomy skin barrier, pectin-based, paste, per ounce

A4407 Ostomy skin barrier, with ﬂange (solid, ﬂexible, or accordion),

extended wear, with built-in convexity, 4x4 inches or smaller,

each

Reimbursement Disclaimer: Coloplast Corp. provides this

information for convenience and your general reference only. It does

not constitute legal advice or a recommendation regarding clinical

practice. Reimbursement, coverage and payment policies can vary

from one insurer and region to another and is subject to change

without notice. The provider has the responsibility to determine

medical necessity and to submit appropriate codes and charges for

care provided. Coloplast does not guarantee coverage or payment

of products and Coloplast makes no guarantee that the use of this

information will prevent differences of opinion or disputes with

Medicare, insurers, or other payers as to the correct form of billing

or the amount that will be paid. This information is provided for your

general information only and is not intended to replace any advice

you receive from your own internal or external insurance coverage

consultants, reimbursement specialists or legal counsel.

123Coloplast

HCPCS Code Reference

A4408 Ostomy skin barrier, with ﬂange (solid, ﬂexible or accordion),

extended wear, with built-in convexity, larger than 4x4 inches,

each

A4409 Ostomy skin barrier, with ﬂange (solid, ﬂexible or accordion),

extended wear, without built in convexity, 4x4 inches or

smaller, each

A4410 Ostomy skin barrier with ﬂange (solid, ﬂexible or accordion),

extended wear, without built-in convexity, larger than 4x4

inches, each

A4411 Ostomy skin barrier, solid 4x4 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 accordion),

without built-in convexity, 4x4 inches or smaller, each

A4415 Ostomy skin barrier, with ﬂange (solid, ﬂexible or accordion),

without built-in convexity, larger than 4x4 inches, each

A4416 Ostomy pouch, closed, with barrier attached, with ﬁlter

(1-piece,) each

A4417 Ostomy pouch, closed, with barrier attached, with built-in

convexity, with ﬁlter (1-piece), each

A4418 Ostomy pouch, drainable, high output, for use on a barrier

with ﬂange (2-piece system), without ﬁlter, each

A4419 Ostomy pouch, closed; for use on barrier with non-locking

ﬂange, with ﬁlter (2-piece), each

A4421 Ostomy supply; miscellaneous

A4422 Ostomy pouch absorbent material (sheet, pad, crystal

packet) for use in ostomy pouch to thicken liquid stomal

output, each

A4423 Ostomy pouch, closed; for use on barrier with locking ﬂange,

with ﬁlter (2-piece), each

A4424 Ostomy pouch, drainable, with barrier attached, with ﬁlter

(1-piece), each

A4425 Ostomy pouch, drainable; for use on barrier with non-locking

ﬂange, with ﬁlter (2-piece system), each

A4426 Ostomy pouch, drainable; for use on barrier with locking

ﬂange (2-piece system), each

A4427 Ostomy pouch, drainable; for use on barrier with 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

convexity, with faucet-type tap with value (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 faucet-

type tap with valve (1- piece), each

A4432 Ostomy pouch, urinary; with barrier attached, with faucet-

type tap with value (1- piece), each

A4433 Ostomy pouch, urinary; for use on barrier with locking ﬂange

(2-piece), each

A4434 Ostomy pouch, urinary; for use on barrier with locking

ﬂange, with faucet-type tap with valve (2-piece), each

A4435 Ostomy pouch, drainable, high output, with extended

wear barrier (1-piece system), with or without ﬁlter, each

124 www.coloplast.us 1-800-533-0464

HCPCS Code Reference

A4455 Adhesive remover or solvent (for tape, cement or other

adhesive), per ounce

A4456 Adhesive remover, wipes, any type, each

A5051 Ostomy pouch, closed; with barrier attached (1-piece),

each

A5052 Ostomy pouch, closed; without barrier attached (1-piece),

each

A5053 Ostomy pouch, closed; for use on faceplate, each

A5054 Ostomy pouch, closed; for use on barrier with ﬂange

(2-piece), each

A5055 Stoma cap

A5056 Ostomy pouch, drainable, with extended wear barrier

attached, with ﬁlter (1-piece), each

A5057 Ostomy pouch, drainable, with extended wear barrier

attached, with built in convexity, with ﬁlter, (1-piece), each

A5061 Ostomy pouch, drainable; with barrier attached, (1-piece),

each

A5062 Ostomy pouch, drainable; without barrier attached

(1-piece), each

A5063 Ostomy pouch, drainable; for use on barrier with ﬂange

(2-piece system), each

A5071 Ostomy pouch, urinary; with barrier attached (1-piece),

each

A5072 Ostomy pouch, urinary; without barrier attached (1-piece),

each

A5073 Ostomy pouch, urinary; for use on barrier with ﬂange

(2-piece), each

A5081 Stoma plug or seal, any type

A5093 Ostomy accessory; convex insert

A5120 Skin barrier, wipes or swabs, each

A5121 Skin barrier; solid, 6x6 or equivalent, each

A5122 Skin barrier; solid, 8x8 or equivalent, each

Index

Mike

Making life easier

126 www.coloplast.us 1-800-533-0464

Making

life easier

Index

1271-800-533-0464 Coloplast

0509 ............ 14

0925 ............ 14

1003 ............ 17

1110 ............ 18

1500 ............ 17

1500H .......... 17

1751 ............ 40

1752 ............ 40

1754 ............ 40

1755 ............ 40

1756 ............ 40

1757 ............ 40

1758 ............ 40

1759 ............ 40

1789 .......... 111

2041 ............ 14

2115 .......... 112

2125 .......... 112

2156 .......... 110

2161 .......... 110

2182 .......... 110

2310 ............ 14

2315 ............ 14

2320 ............ 14

2325 ............ 14

2330 ............ 14

2340 ............ 14

2350 ............ 14

2501 ............ 77

2650 ...... 11, 99

2801 .... 39, 110

2802 ............ 39

2803 ............ 39

2807 .... 39, 111

2808 ............ 39

2831 ............ 32

2832 ............ 32

2833 ............ 32

2836 ...... 38, 88

2837 ...... 38, 88

2846 ....... 37, 8 4

2847 ....... 37, 8 4

2881 ............ 32

2882 ............ 32

2883 ............ 32

4215 ............ 15

4220 ............ 15

4237 ............ 15

4247 ............ 15

5070 ............ 16

5570 ............ 78

5575 ............ 78

5580 ............ 78

5585 ............ 78

7583 ............ 13

8009 .......... 112

8114 ....... 37, 8 4

8115 ....... 37, 8 4

8116 ....... 37, 8 4

9500 ...... 14, 90

10011 .......... 27

10012 .......... 27

10013 .......... 27

10015 .......... 27

10016 .......... 27

10017 .......... 27

10021 .......... 27

10022 .......... 27

10023 .......... 27

10025 .......... 27

10026 .......... 27

10027 .......... 27

10031 .......... 27

10032 .......... 27

10035 .......... 27

10036 .......... 27

10041 .......... 27

10045 .......... 27

10101 .......... 47

10102 .......... 47

10103 .......... 47

10104 .......... 47

10105 .......... 47

10106 .......... 47

10108 .......... 47

10154 .......... 30

10155 .......... 30

10156 .......... 30

10164 .......... 30

10165 .......... 30

10166 .......... 30

10167 .......... 30

10187 .......... 30

10461 .......... 53

10471 .......... 53

10472 .......... 53

10473 .......... 53

10474 .......... 53

10475 .......... 53

10476 .......... 53

10477 .......... 53

10478 .......... 53

10479 .......... 53

10480 .......... 53

10481 .......... 53

10482 .......... 53

10483 .......... 53

10484 .......... 53

10485 .......... 53

10486 .......... 53

10487 .......... 53

10488 .......... 53

10489 .......... 54

10490 .......... 53

10491 .......... 53

10492 .......... 54

10493 .......... 54

10494 .......... 54

10495 .......... 54

10496 .......... 54

10502 .......... 21

10503 .......... 21

10504 .......... 21

10505 .......... 21

10506 .......... 21

10512 .......... 21

10513 .......... 21

10514 .......... 21

10515 .......... 21

10516 .......... 21

10522 .......... 21

10523 .......... 21

10524 .......... 21

10525 .......... 21

10531 .......... 21

10551 .......... 43

10561 .......... 43

10562 .......... 43

10563 .......... 43

10564 .......... 43

10565 .......... 43

10566 .......... 43

10567 .......... 43

10568 .......... 43

10571 .......... 43

10572 .......... 43

10573 .......... 43

10586 .......... 62

10870 .......... 59

10871 .......... 59

10872 .......... 59

10873 .......... 59

10874 .......... 59

10881 .......... 59

10883 .......... 59

10884 .......... 59

Code Page # Code Page # Code Page #

Index

128 1-800-533-0464www.coloplast.us

10885 .......... 59

10911 .......... 49

10912 .......... 49

10914 .......... 49

10915 .......... 49

10917 .......... 49

10918 .......... 49

11001 .......... 95

11002 .......... 95

11004 .......... 92

11005 .......... 96

11008 .......... 96

11009 .......... 91

11010 .......... 91

11011 .......... 28

11011K ........ 94

11012 .......... 28

11015 .......... 28

11016 .......... 28

11021 .......... 28

11022 .......... 28

11023 .......... 28

11024 .......... 28

11025 .......... 28

11026 .......... 28

11027 .......... 28

11028 .......... 28

11031 .......... 28

11032 .......... 28

11035 .......... 28

11036 .......... 28

11041 .......... 28

11045 .......... 28

11114 .......... 29

11115 .......... 29

11124 .......... 29

11125 .......... 29

11126 .......... 29

11127 .......... 29

11135 .......... 29

11136 .......... 29

11185 .......... 29

11186 .......... 29

11194 .......... 29

11195 .......... 29

11196 .......... 29

11197 .......... 29

11301 .......... 47

11302 .......... 47

11303 .......... 47

11304 .......... 48

11305 .......... 48

11306 .......... 48

11307 .......... 47

11308 .......... 48

11312 .......... 48

11313 .......... 48

11314 .......... 48

11315 .......... 48

11401 .......... 25

11402 .......... 25

11412 .......... 25

11413 .......... 25

11421 .......... 25

11422 .......... 25

11425 .......... 25

11426 .......... 25

11461 .......... 23

11462 .......... 23

11463 .......... 23

11471 .......... 23

11472 .......... 23

11473 .......... 23

11474 .......... 23

11482 .......... 23

11483 .......... 23

11484 .......... 23

11486 .......... 23

11487 .......... 23

11488 .......... 23

11491 .......... 26

11492 .......... 26

11497 .......... 26

11498 .......... 26

11499 .......... 26

11500 .......... 26

11512 .......... 48

11514 .......... 48

11515 .......... 48

11517 .......... 48

11518 .......... 48

11590 .......... 48

11591 .......... 48

11612 .......... 49

11690 .......... 49

11803 .......... 68

11804 .......... 68

11805 .......... 69

11806 .......... 69

11807 .......... 69

11808 .......... 69

11809 .......... 69

11814 .......... 69

11816 .......... 70

11817 .......... 70

11818 .......... 70

11819 .......... 70

11841 .......... 31

11844 .......... 31

11845 .......... 31

11846 .......... 31

11851 .......... 31

11854 .......... 31

11855 .......... 31

11856 .......... 31

12003 .......... 15

12004 .......... 15

12005 .......... 15

12006 .......... 15

12007 .......... 15

12008 .......... 15

12009 .......... 15

12014 ........ 105

12032 .... 10, 98

12033 .... 10, 98

12035 .... 10, 98

12036 .... 10, 98

12037 .... 10, 98

12038 .... 10, 98

12039 .... 10, 98

12045 .... 10, 98

12046 .... 10, 98

12047 .... 10, 98

12048 .... 10, 98

12049 .... 10, 98

12050 .... 11, 99

12060 .. 12, 100

12061 .. 12, 100

12076 ...... 9, 97

12080 .. 12, 100

12090 .... 10, 98

12091 .... 10, 98

12092 .... 10, 98

12093 .... 10, 98

12094 .... 10, 98

12095 .... 10, 98

12110 .......... 76

12130 .......... 76

12134 .......... 76

12135 .......... 76

12136 .......... 76

12140 .......... 76

12144 .......... 76

12145 .......... 76

12146 .......... 76

12147 .......... 76

12149 .......... 76

12170 .......... 75

12174 .......... 75

Code Page # Code Page # Code Page #

Index

1291-800-533-0464 Coloplast

12175 .......... 75

12176 .......... 75

12177 .......... 75

12202 .......... 46

12203 .......... 46

12213 .......... 46

12216 .......... 46

12222 .......... 46

12223 .......... 46

12262 .......... 44

12272 .......... 44

12273 .......... 44

12274 .......... 44

12281 .......... 44

12282 .......... 44

12283 .......... 44

12284 .......... 44

12291 .......... 46

12292 .......... 46

12296 .......... 46

12297 .......... 46

12298 .......... 46

12344 .......... 38

12345 .......... 38

12346 .......... 38

12354 .......... 38

12355 .......... 38

12356 .......... 38

12374 .......... 38

12375 .......... 38

12376 .......... 38

12384 .......... 38

12385 .......... 38

12386 .......... 38

12416 .......... 75

12419 .......... 75

12432 .......... 79

12433 .......... 79

12471 .......... 79

12472 .......... 79

12474 .......... 78

12527 .......... 37

12528 .......... 37

12529 .......... 37

12533 .......... 75

12577 .......... 37

12578 .......... 37

12579 .......... 37

12595 .......... 79

12596 .......... 79

12620 .......... 74

12630 .......... 74

12660 .......... 74

12670 .......... 74

12701 .......... 34

12702 .......... 34

12703 .......... 34

12704 .......... 34

12705 .......... 34

12706 .......... 34

12707 .......... 34

12708 .......... 34

12709 .......... 34

12716 .......... 34

12719 .......... 34

12800 .......... 87

12802 .......... 87

12805 .......... 88

12808 .......... 87

12810 .......... 87

12818 .......... 88

12820 .......... 18

12830 .......... 17

12834 .......... 18

12835 .......... 18

12836 .......... 18

12841 .......... 32

12842 .......... 32

12844 .......... 32

12845 .......... 32

12847 .......... 32

12848 .......... 32

12991 .......... 79

12992 .......... 79

12993 .......... 79

12994 .......... 79

12995 .......... 79

12996 .......... 79

12997 .......... 79

13660 .......... 93

13661 .......... 93

13662 .......... 93

13663 .......... 96

13664 .......... 96

13665 .......... 95

13703 .......... 75

13706 .......... 75

13840 .......... 72

13844 .......... 72

13845 .......... 72

13846 .......... 72

13860 .......... 72

13870 .......... 72

13874 .......... 72

13875 .......... 72

13876 .......... 72

13924 .......... 36

13925 .......... 36

13964 .......... 36

13965 .......... 36

13966 .......... 36

13974 .......... 36

13975 .......... 36

13976 .......... 36

13984 .......... 36

13985 .......... 36

13986 .......... 36

14010 .... 16, 90

14015 .... 16, 90

14021 .... 16, 90

14031 .... 16, 90

14041 .... 16, 90

14050 .......... 89

14060 .......... 89

14070 .......... 89

14103 .......... 73

14106 .......... 73

14163 .......... 73

14164 .......... 73

14165 .......... 73

14166 .......... 73

14173 .......... 73

14174 .......... 73

14175 .......... 73

14176 .......... 73

14196 .......... 74

14204 .. 39, 111

14205 .......... 39

14206 .......... 39

14222 .......... 77

14224 .......... 40

14225 .......... 40

14226 .......... 40

14227 .......... 40

14228 .......... 40

14229 .......... 40

14232 .......... 34

14233 .......... 34

14234 .......... 34

14235 .......... 34

14236 .......... 34

14237 .......... 34

14238 .......... 34

14239 .......... 34

14243 .......... 34

14246 .......... 34

14249 .......... 34

14250 .......... 32

14251 .......... 32

Code Page # Code Page # Code Page #

Index

130 1-800-533-0464www.coloplast.us

14252 .......... 32

14254 .......... 32

14255 .......... 32

14257 .......... 32

14258 .......... 32

14261 .......... 33

14262 .......... 33

14263 .......... 33

14271 .......... 33

14272 .......... 33

14273 .......... 33

14274 .......... 33

14275 .......... 33

14276 .......... 33

14277 .......... 33

14278 .......... 33

14281 .......... 33

14282 .......... 33

14283 .......... 33

14291 .......... 33

14292 .......... 33

14293 .......... 33

14294 .......... 33

14295 .......... 33

14296 .......... 33

14297 .......... 33

14298 .......... 33

14307 ........ 109

14308 ........ 109

14404 .......... 73

14405 .......... 73

14411 .......... 73

14412 .......... 73

14413 .......... 74

14414 .......... 73

14415 .......... 73

14416 .......... 74

14419 .......... 74

14421 .......... 73

14422 .......... 73

14423 .......... 73

14424 .......... 73

14431 .......... 77

14432 .......... 77

14434 .......... 77

14435 .......... 77

14441 .......... 76

14442 .......... 76

14444 .......... 76

14445 .......... 76

14451 .......... 77

14452 .......... 77

14453 .......... 77

14454 .......... 77

14511 .......... 71

14512 .......... 71

14681 ........ 109

14682 ........ 109

14691 ........ 109

14692 ........ 109

14717 .......... 78

15480 .......... 68

15484 .......... 68

15521 .......... 66

15522 .......... 66

15523 .......... 66

15524 .......... 66

15531 .......... 66

15532 .......... 66

15533 .......... 66

15534 .......... 66

15606 .......... 67

15608 .......... 67

15623 .......... 67

15624 .......... 67

15633 .......... 67

15634 .......... 67

15695 .......... 67

15696 .......... 67

15697 .......... 67

15698 .......... 67

15821 .......... 66

15860 .......... 70

15869 .......... 71

15870 .......... 70

15871 .......... 71

15874 .......... 70

15875 .......... 70

15876 .......... 70

15879 .......... 71

15954 .......... 35

15955 .......... 35

15956 .......... 35

15974 .......... 35

15975 .......... 35

15976 .......... 35

15981 .......... 66

15982 .......... 35

15983 .......... 35

15984 .......... 35

15985 .......... 35

15986 .......... 35

15991 .......... 66

15992 .......... 66

15993 .......... 66

15994 .......... 66

16301 .......... 60

16305 .......... 60

16306 .......... 60

16310 .......... 60

16311 .......... 60

16312 .......... 60

16313 .......... 60

16315 .......... 60

16321 .......... 61

16322 .......... 61

16323 .......... 61

16325 .......... 60

16326 .......... 60

16327 .......... 60

16330 .......... 60

16331 .......... 60

16333 .......... 60

16334 .......... 60

16341 .......... 61

16342 .......... 61

16343 .......... 61

16345 .......... 61

16346 .......... 61

16347 .......... 61

16350 .......... 61

16351 .......... 61

16353 .......... 61

16354 .......... 61

16355 .......... 61

16471 .......... 43

16472 .......... 43

16481 .......... 43

16483 .......... 43

16484 .......... 43

16485 .......... 43

16486 .......... 43

16487 .......... 43

16488 .......... 43

16491 .......... 43

16493 .......... 43

16494 .......... 43

16705 .......... 54

16706 .......... 54

16715 .......... 54

16716 .......... 54

16725 .......... 55

16726 .......... 55

16727 .......... 55

16730 .......... 55

16731 .......... 55

16732 .......... 55

16733 .......... 55

16734 .......... 55

Code Page # Code Page # Code Page #

Index

1311-800-533-0464 Coloplast

16735 .......... 55

16737 .......... 55

16738 .......... 55

16739 .......... 55

16740 .......... 55

16741 .......... 55

16742 .......... 55

16748 .......... 55

16755 .......... 56

16756 .......... 56

16757 .......... 56

16760 .......... 56

16761 .......... 56

16762 .......... 56

16763 .......... 56

16764 .......... 56

16765 .......... 56

16766 .......... 56

16767 .......... 56

16768 .......... 56

16770 .......... 56

16771 .......... 56

16772 .......... 56

16773 .......... 56

16778 .......... 56

16801 .......... 63

16805 .......... 63

16810 .......... 63

16821 .......... 64

16822 .......... 64

16823 .......... 64

16825 .......... 64

16826 .......... 64

16827 .......... 64

16830 .......... 64

16831 .......... 64

16832 .......... 64

16833 .......... 64

16835 .......... 64

16836 .......... 64

16837 .......... 64

16840 .......... 64

16841 .......... 64

16842 .......... 64

16855 .......... 65

16856 .......... 65

16857 .......... 65

16860 .......... 65

16861 .......... 65

16862 .......... 65

16863 .......... 65

16865 .......... 65

16866 .......... 65

16867 .......... 65

16870 .......... 65

16871 .......... 65

16872 .......... 65

16901 .......... 21

16903 .......... 21

16911 .......... 21

16913 .......... 21

16914 .......... 21

16915 .......... 21

16921 .......... 21

16923 .......... 21

16924 .......... 21

16931 .......... 21

16933 .......... 21

16934 .......... 21

16941 .......... 22

16942 .......... 22

16951 .......... 22

16953 .......... 22

16954 .......... 22

16955 .......... 22

16961 .......... 22

16963 .......... 22

16964 .......... 22

16971 .......... 22

16973 .......... 22

16974 .......... 22

18152 .......... 62

18170 .......... 62

18171 .......... 62

18172 .......... 62

18173 .......... 62

18180 .......... 62

18181 .......... 62

18182 .......... 62

18301 .......... 58

18302 .......... 58

18305 .......... 58

18312 .......... 58

18313 .......... 58

18314 .......... 58

18315 .......... 58

18320 .......... 58

18321 .......... 58

18322 .......... 58

18323 .......... 58

18324 .......... 58

18330 .......... 58

18331 .......... 58

18332 .......... 58

18333 .......... 58

18340 .......... 58

18341 .......... 58

18342 .......... 58

18343 .......... 58

18344 .......... 58

18401 .......... 65

18402 .......... 65

18403 .......... 65

18404 .......... 65

18405 .......... 65

18500 .......... 22

18501 .......... 22

18510 .......... 22

18511 .......... 22

18512 .......... 22

18513 .......... 22

18520 .......... 22

18521 .......... 22

18522 .......... 22

18523 .......... 22

18524 .......... 22

18530 .......... 22

18531 .......... 22

18532 .......... 22

18600 .... 24, 83

18601 .... 24, 83

18602 .... 24, 83

18603 .... 24, 83

18610 .... 24, 83

18611 .... 24, 83

18612 .... 24, 83

18613 .... 24, 83

18620 .... 25, 84

18621 .... 25, 84

18622 .... 25, 84

18630 .... 24, 83

18631 .... 24, 83

18632 .... 24, 83

18640 .... 24, 83

18641 .... 24, 83

18642 .... 24, 83

18650 .... 45, 84

18651 .... 45, 84

18652 .... 45, 85

18653 .... 45, 85

18655 .... 45, 84

18656 .... 45, 84

18657 .... 45, 85

18658 .... 45, 85

18660 ..... 57, 85

18661 ..... 57, 85

18665 ..... 57, 85

18666 ..... 57, 85

18670 ..... 57, 85

Code Page # Code Page # Code Page #

Index

132 1-800-533-0464www.coloplast.us

18671 ..... 57, 85

18675 ..... 57, 86

18676 ..... 57, 86

18680 .......... 86

18681 .......... 86

18690 .......... 86

18691 .......... 86

18700 ........ 105

18705 ........ 105

18710 ........ 108

18711 ........ 108

18712 ........ 108

18713 ........ 108

18720 ........ 106

18721 ........ 106

18722 ........ 107

18723 ........ 107

18724 ........ 107

18725 ........ 107

18730 ........ 107

18731 ........ 107

18735 ........ 106

18747 ........ 106

19001 .......... 87

19004 ..... 67, 86

19010 .......... 87

19011 .......... 87

19020 .......... 87

19021 .......... 87

19030 .......... 87

19040 .......... 30

19041 .......... 30

19042 .......... 30

19050 .......... 30

19051 .......... 30

19052 .......... 30

19075 .......... 13

21001 .......... 94

21002 .......... 94

21003 .......... 94

21004 .......... 94

21005 .......... 96

21006 .......... 97

21007 .......... 95

21008 .......... 91

21009 .......... 92

21010 .......... 92

21011 .......... 94

21012 .......... 92

21013 .......... 92

21365 .......... 15

26555 .... 11, 99

32105 .......... 13

32155 .......... 13

32205 .......... 13

67589 .......... 13

95050 .......... 13

110072 ........ 93

120105 12, 100

120115 12, 100

120205 12, 101

120215 13, 101

120307 .. 11, 99

120427 .. 11, 99

120700 .... 9, 97

120721 .... 9, 97

120740 .... 9, 97

Code Page # Code Page # Code Page #

Index