TEAM OPTIONS Ostomy Barrier/Support
812-04 Ladies' Split-Crotch Brief
812-04 Ladies' Split-Crotch Brief

Built-in Ostomy Barrier/Support!
Designed for 24-hour wear. Perfect for intimate moments, active daywear and, when sleeping, split allows air to flow to body. Split-crotch also separates automatically for urination when knees spread apart. White features soft absorbent 92% cotton/8% Lycra, split-crotch 100% cotton.

812-04 .. White .. Basic 90 Cotton/10 Nylon ..A4421



$29.54

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Size:

Additional Charge for the Following:
$5.00 for 2XL and above
$5.00 for Center
$5.00 for Dual
$5.00 for Custom Order (Include or call with details)
Enter Additional Charges: $

Special Notes:
Height/Weight:
Diagnosis (Ileostomy, Colostomy or Urostomy):

Phone:

FLAT RATE OF $10 SHIPPING ADDED AT CHECKOUT
Amount $

We only ship within the lower 48 States
ALLOW 7-10 BUSINESS DAYS FOR DELIVERY

WE DO NOT ACCEPT INSURANCE AT THIS TIME. WE CAN PROVIDE A MEDICAL NECESSITY FORM FOR YOU TO GET REIMBURSED FROM YOUR INSURANCE COMPANY

Credit Card, Debit Card or Paypal ..PayPal Account Optional

B/ CPT Code and NTE (additional narrative record field). It is imperative that all electronic claims provide the following exactly as written or the claim will not be process properly and will be denied.
1. CPT - A4421 Ostomy Supply Miscellaneous
2. NTE - BarrierSupport protects peristomal skin,supports pouch,reduce leaks,extend weartime
PLEASE NOTE: The criteria for the NTE (additional narrative record field) is that it only contain 83 characters, therefore, it is imperative to use the above punctuation, spacing or non-spacing in order to accommodate the abbreviated reasons listed for medical necessity

A4421 Ostomy Supply Miscellaneous - OSTOMY BARRIER SUPPORT:
Protects the peristomal skin integrity and prevents candidiasis. Support the contents of the pouching system which maintains the adhesive seal; minimizing seal leaks thus extending the wear time of the puching system. Saves nursing time and reduces total care cost.

Prices are subject to change without notice. We reserve the right to discontinue any product without prior notification.

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