11 Health and Technologies Limited - A Connected Medical Device Company

United States Insurance Information

"Ostomy Bag Fill Sensor"

Manufactured by 11 Health and Technologies Limited

Coding and Billing Information for ostom-i Alert Sensor
Using the CMS-1500 and CMS-1450 (UB-04) Forms

Reimbursement Quick Facts:

Since ostom-i Alert Sensor does not yet have a permanent HCPCS code assigned, a miscellaneous A-Codes such as:

    • A4421 Ostomy Supply; miscellaneous OR
    • A9280 Alert or Alarm Device, Not Otherwise Classified:
  • CMS-1500 form, section 24D, if billing in the physician’s office.
  • CMS-1450(UB04), section FL44, if billing under the Hospital OPPS (Outpatient Prospective Payment System).

Product Name:

  • ostom-i Alert Sensor
    • CMS-1500 Form. section 19 or 24A (Shaded Area)
    • CMS-1450 (UB04) Form – section FL43

National Drug Code (NDC):

  • 66741-0000-10

When billing Medicare:

  • Must submit to the appropriate DME Intermediary (MAC):
    • CGS Administrators, LLC
    • National Government Services (NGS), Inc.
    • NHIC
    • Noridian Administrative Services


For Ostomy/Stoma Patients

Important Information

  • The ostom-i Alert Sensor is a discrete device that alerts patients as to how full their ostomy/stoma bags are so that they can decide if and when to empty them.
  • The ostom-i Alert Sensor clips on to any ostomy bag sending Bluetooth alerts to an "app" on your mobile device (phone or tablet) notifying you that your bag is filling up.
  • The ostom-i Alert Sensor captures guidance information about volume of output over a time period and allows the information to be e-mailed to physicians and other healthcare professionals.
  • Each ostom-i Alert Sensor lasts up to three (3) months.