Ostomry Product Hollister

Ostomy Care
Ostomy
Care
General Information
HCPCS Codes Disclaimer
The reimbursement information provided herein is intended to provide
general information concerning coding of Hollister products only. Hollister
does not guarantee coverage or payment for any products. The ultimate
responsibility for proper coding, satisfying reimbursement requirements,
and obtaining reimbursement remains with the provider. Coding and
coverage policies and guidelines are complex, can vary from one carrier
or region to another, and are updated frequently. Providers should check
with their local carriers or intermediaries often and should consult with
counsel, a reimbursement specialist, and/or the DMECS website for any
coding, coverage, reimbursement, or billing questions.
HCPCS codes shown in this Product Catalog are current as of 1-6-12.
Explanation of Third Party Code Reimbursement System

(National Health Related Items Code)
To facilitate reimbursement of Hollister products, some Third Party
Payment Programs require the use of an eleven-digit reimbursement
number. Every Hollister manufactured product can be identified by an
eleven-digit number. In general, the first five numbers identify the
manufacturers labeler code, and the last six numbers represent the
product stock number. The labeler code for Hollister Incorporated is
08380. The labeler code for Hollister Wound Care LLC is 08567, and
the labeler code for the Apogee product line is 08598. In order to utilize
this coding system, follow these examples.
To code a four-digit stock number:
The Third Party Reimbursement Number for the Apogee 12 Fr Intermittent
Catheter, Stock Number 1048 listed in the catalog on page 92, is:
08598-0010-48
08598 identifies Apogee. 0010-48 identifies the product Stock Number.
To code a five-digit stock number:
The Third Party Reimbursement Number for the New Image Drainable
Pouch, Stock Number 18113 listed in the catalog on page 30, is:
08380-0181-13
08380 identifies Hollister Incorporated. 0181-13 identifies the product
Stock Number.
To code a six-digit stock number:
The Third Party Reimbursement Number for the Restore Contact Layer
Dressing with Triact Technology, Stock Number 509338 listed in the
catalog on page 130, is:
08567-5093-38
08567 identifies Hollister Wound Care LLC. 5093-38 identifies the
product Stock Number.
Additionally, three products in the Hollister Wound Care line require an
NDC number due to their Dimethicone-based nature. The labeler code
for their OTC drug products is 42828. The three NDC numbers are
listed below.
NDC
42828-9977-02
42828-9978-03
42828-9979-01
2
Stock No.
529977
529978
529979
Description
Restore Cleanser & Moisturizer, 7.5 oz
Restore Cleanser & Moisturizer, 11.5 oz
Restore Dimethicreme Skin Protectant, 4 oz
Hollister Incorporated
1.888.740.8999
Latex Statement
The specifications for the Hollister Continence Care products listed
below include natural rubber latex as a component; our suppliers
add natural rubber latex as part of the production process.
If a Hollister product(s) found in this catalog is not listed below,
the specification for that product(s) and packaging does not include
natural rubber latex as a component, and our component suppliers
do not add natural rubber as part of their production process.
Current Stock Numbers:

1051
1067
1084
9106
9107
9108
9109
9206
9207
9208
9209
9834
9835
B12R
B14R
B16R
B12RB
B14RB
B16RB
9807 *
9808 *
9809 *
9813
9816
9817
9818
9824
9825
9826 *
9827 *
9828 *
Discontinued Stock Numbers:

9606 *
9607 *
9608 *
9609 *
9626 *
9627 *
9628 *
9629 *
9636
9637
9638
9639
9656
9657
9658
9659
9803
9806 *
9829 *
9897
9898
How to Use The Hollister Products Catalog

Hollister has created this simplified Product Catalog to help our
customers find what they need in a quick and efficient manner.
If you...
know the stock number (or stock series number)
Go to the numeric index at the back of the catalog on pages 162163
to find the page number where it appears.
If you...
know the product brand or series name
Go to the Table of Contents on pages 9-10, 86, 106, 114 and 120
to find the page number where it appears or reference the Product Name
Index on pages 164166.
If you...
know the HCPCS code
Go to the HCPCS Code Index at the back of the catalog on page 167.
Product Discontinued as of July 2007

Product Discontinued as of January 2009
* Product Discontinued as of September 2009
As of February 2009, this product has been redesigned to exclude natural rubber latex
either as a component or from the production process. The packaging/insert of the new
non-latex version of the product will not contain a latex statement. Please verify the latex
status of the individual product prior to use by reviewing the packaging and product insert for
a latex statement. A latex statement indicates the product is from the previous latex version.
www.hollister.com
Table of Contents Ostomy Care

Contents
Quick Reference for Product Selection..........................................1116

New Image Two-Piece Pouching System Skin Barriers.....................11
New Image Two-Piece Pouching System Pouches...........................12
New Image Two-Piece Pouching System Single-Use Kits.................13
Premier One-Piece Pouching System.........................................1416
Premier One-Piece Pouching System Single-Use Kits.......................16
Medicare Utilization Chart.............................................................1720
New Image Two-Piece Pouching System....................................2535
Flat Skin Barriers with Integrated Floating Flanges.......................2527
Convex Skin Barriers with Integrated Floating Flanges..................2829
Drainable Pouches......................................................................3031
High Output Drainable Pouches.........................................................32
Closed Pouches..........................................................................3233
Irrigator Sleeve.................................................................................33
Urostomy Pouches............................................................................33
Non Sterile Kits Drainable............................................................34
Non Sterile Kits Urostomy............................................................34
Sterile Kits Drainable...................................................................35
Sterile Kits Urostomy...................................................................35
Premier One-Piece Pouching System...........................................4153
Drainable Pouches with Flat Barriers...........................................4146
Drainable Pouches with Convex Barriers......................................4647
High Output Drainable Pouches.........................................................48
Hollister Universal Catheter Access Port............................................49
Wound Drainage Collectors...............................................................49
Closed Pouches..........................................................................5051
Stoma Cap.......................................................................................51
Urostomy Pouches with Flat Barriers.................................................51
Urostomy Pouches with Convex Barriers............................................52
Non Sterile Kits Drainable......................................................5253
Non Sterile Kits Urostomy............................................................53
Secure Start
services are
here for your
patients every
step of the way.
Learn more on page 145
www.hollister.com
Pouchkins Pediatric Pouching System...............................................59

Premie Pouch...................................................................................59
Newborn Pouch................................................................................59
One-Piece Pouches....................................................................5960
Two-Piece Skin Barrier.....................................................................60
Two-Piece Pouches....................................................................6061
Pediatric Ostomy Belt.......................................................................61
Ostomy Accessories.....................................................................6771
Adapt Skin Barrier Accessories........................................................67
Adapt Skin Barrier Paste..................................................................67
Adapt Stoma Powder.......................................................................67
Adapt Odor Eliminator and Lubricant................................................67
Adapt Ostomy Belts.........................................................................68
Skin Barrier......................................................................................68
Skin Prepping Product......................................................................68
Adhesives and Removers..................................................................68
Odor Eliminators...............................................................................69
Cleaner/Decrystallizer.......................................................................69
Drainable Pouch Clamp....................................................................69
Urostomy Drain Tube Adapter...........................................................69
Skin Care Products.....................................................................6970
Irrigation Products............................................................................70
Loop Ostomy Bridge.........................................................................70
Replacement Filters..........................................................................71
Bedside Drainage Collection System with Anti-Reflux Valve................71
Skin Barrier Pastes and Powders......................................................71
Skin Barriers....................................................................................71
CenterPointLock Two-Piece Pouching System............................7276
Flat Skin Barriers with Floating Flanges.......................................7273
Convex Skin Barriers with Floating Flanges..................................7374
Closed Pouches................................................................................75
Urostomy Pouches......................................................................7576
Stoma Cap.......................................................................................76
Irrigator Sleeve.................................................................................76
Karaya 5 One-Piece Pouching System.........................................7779
Closed Pouches................................................................................78
Urostomy Pouches............................................................................78
Other One-Piece Pouching System.....................................................79
Closed Pouches................................................................................79
Stoma Cap.......................................................................................79
Glossary Ostomy..............................................................................80
10
1.888.740.8999
Quick Reference for Product Selection

New Image Two-Piece Flat Skin Barriers with Integrated Floating Flanges (see pages 2527)
New Image Flat Barriers

Cut-to-Fit
Flextend
A4409
Pre-Sized
Cut-to-Fit
FlexWear
A4414
Pre-Sized
FormaFlex
A4409
Shapeto-Fit
With
Tape
Without
Tape
1-3/4" (44 mm)

14602
With
Tape
14604
up to 1-3/4" (44 mm)
15602
up to 2-1/4" (57 mm)
15603
up to 1-1/4" (32 mm)
up to 1-3/4" (44 mm)
1470x
14707
14708
16107
16108
14202
14709
14203
14204
up to 1-3/4" (44 mm)
15202
up to 2-1/4" (57 mm)
15203
up to 1-1/4" (32 mm)
up to 1-3/4" (44 mm)
1430x
14307
14308
16407
16408
15204 (A4415)
14104
14309
1-3/8" (35 mm) 1-1/2" (38 mm)
14102
14103
up to 1-1/4" (32 mm)
14206 (A4415)
up to 3-1/2" (89 mm)
up to 2-1/4" (57 mm)
1-3/8" (35 mm) 1-1/2" (38 mm) 1-3/4" (44 mm)
1640x
14606 (A4410)
up to 3-1/2" (89 mm)
15604 (A4410)
1-3/8" (35 mm) 1-1/2" (38 mm)
up to 1-1/4" (32 mm)
4" (102 mm)
up to 2-1/4" (57 mm)
1-3/8" (35 mm) 1-1/2" (38 mm) 1-3/4" (44 mm)
1610x
With
Tape
Without
Tape
2-3/4" (70 mm)
14603
up to 1-1/4" (32 mm)
With
Tape
Without
Tape
With
Tape
Without
Tape
2-1/4" (57 mm)
up to 1-11/16" (43 mm)
up to 2-1/4" (57 mm)
New Image Two-Piece Convex Skin Barriers with Integrated Floating Flange (see pages 2829)
New Image
Convex Barriers
Cut-to-Fit
Flextend
A4407
1-3/4" (44 mm)
With
Tape
up to 1" (25 mm)
Without
Tape
up to 1" (25 mm)
With
Tape
Pre-Sized
14802
14901
5/8"
(16 mm)
14902
3/4"
(19 mm)
FlexWear
A4373
Pre-Sized
14903
14904
15905
15906
1"
(25 mm)
15402
7/8" (22 mm)
15503
14906
15904
up to 1" (25 mm)
Without
Tape
14905
15903
Without
Tape
14503
15804 (A4408)
1-1/4"
(32 mm)
14402
7/8" (22 mm)
15803
up to 1-1/2" (38 mm)

1-1/8"
(29 mm)
up to 1" (25 mm)
With
Tape
up to 2" (51 mm)
1"
(25 mm)
With
Tape
14804
up to 1-1/2" (38 mm)
7/8"
(22 mm)
7/8"
(22 mm)
2-3/4" (70 mm)
14803
15802
Without
Tape
Cut-to-Fit
2-1/4" (57 mm)
14504
1" (25 mm)
15504
1" (25 mm)
1-1/8"
(29 mm)
14907
1-3/8"
(35 mm)
up to 2" (51 mm)
14908
1-1/2"
(38 mm)
14403
up to 1-1/2" (38 mm)
15403
up to 1-1/2" (38 mm)
14505
15505
1-1/8" (29 mm)
1-5/8"
(41 mm)
14910
1-3/4"
(44 mm)
14911
2"
(51 mm)
1-1/4"
(32 mm)
1-1/8" (29 mm)
14909
14506
1-1/4" (32 mm)
15506
1-1/4" (32 mm)
14404
up to 2" (51 mm)
15404
up to 2" (51 mm)
convex product
www.hollister.com
11

New Image Two-Piece Drainable Pouches (see pages 3032)
New Image Drainable Pouches

Filter
A4425
Lock n Roll
No
Filter
A5063
Filter
A4425
Pouch
Clamp
No
Filter
A5063
High Output
With
Soft Tap
2-1/4" (57 mm)
2-3/4" (70 mm)
4" (102 mm)
Transparent
18192
18292
18193
18293
18194
18294
Beige
18182
18282
18183
18283
18184
18284
Transparent
18132
18133
18134
Ultra-Clear
18002
18003
18004
18006
Beige
18112
18113
18114
Transparent
18162
18163
18164
Beige
18142
18143
18144
Transparent
18102
18103
18104
Ultra-Clear
18172
18173
18174
18176
Beige
No
Filter
A4412
1-3/4" (44 mm)
Ultra-Clear
18122
18202
18012
18123
18203
18013
18124
18204
18014
18016
New Image Two-Piece Closed Pouches (see pages 3233)
New Image Closed Pouches
1-3/4" (44 mm)
2-1/4" (57 mm)
Transparent
18362
18363
18364
Beige
18372
18373
18374
Filter
QuietWear
A4419
Beige
18322
18323
18324
No Filter
QuietWear
A5054
Beige
Filter
A4419
9"
(23 cm)
7"
(18 cm)
12
Filter
A4419
18332
(box of 60)
18732
(box of 30)
18333
(box of 60)
18733
(box of 30)
2-3/4" (70 mm)
18334
(box of 60)
18734
(box of 30)
Transparent
18382
18383
18384
Beige
18392
18393
18394
No Filter
A5054
Beige
18352
(box of 60)
1.888.740.8999
18752
(box of 30)
18353
(box of 60)
18753
(box of 30)
18354
(box of 60)
18754
(box of 30)

New Image Two-Piece Urostomy Pouches and Single Use Kits (see pages 3335)
New Image Urostomy Pouches

9" (23 cm)
A4432
1-3/4" (44 mm)
Drainable,
No Filter,
FlexWear,
With Tape
A5063 +
A4414
Urostomy,
Flextend,
With Tape
A4432 +
A4409
Pouch
lamp
C
2-3/4" (70 mm)
Transparent
18402
18403
18404
Ultra-Clear
18422
18423
18424
Beige
18412
18413
18414
New Image Single-Use Kits
Lock n
Roll
2-1/4" (57 mm)
1-3/4" (44 mm)
2-1/4" (57 mm)
2-3/4" (70 mm)
4" (102 mm)
Non
Sterile
Ultra-Clear
19002
19003
19004
19006
(A5063 + A4415)
Sterile
Ultra-Clear
19052
19053
19054
19056
(A5063 + A4415)
Non
Sterile
Ultra-Clear
19102
19103
19104
19106
(A5063 + A4415)
Sterile
Ultra-Clear
19152
19153
19154
19156
(A5063 + A4415)
Non
Sterile
Ultra-Clear
19202
19203
19204
Sterile
Ultra-Clear
19252
19253
19254
www.hollister.com
13

Premier One-Piece Drainable Pouches with Flat Barriers (see pages 4146)
Premier Pouches
Drainable with Flat Barriers
Flextend,
Filter,
With Tape
A5056
Lock n
Roll
Lock n
Roll
Flextend,
No Filter,
With Tape
A4388
12"
(30 cm)
12"
(30 cm)
9"
(23 cm)
Pouch
Clamp
12"
(30 cm)
FlexWear,
Filter,
With Tape
A4424
FlexWear,
No Filter,
With Tape
A5061
Cut-to-Fit
Pre-Sized
up to 2-1/2"
(64 mm)
3/4"
1"
1-3/16" 1-1/4" 1-3/8" 1-1/2" 1-9/16" 1-3/4"
2"
2-1/2"
(19 mm) (25 mm) (30 mm) (32 mm) (35 mm) (38 mm) (40 mm) (44 mm) (51 mm) (64 mm)
Transparent
8331
Transparent
8532
8538
8533
8539
Ultra-Clear
8531
Beige
8551
8552
8558
8553
8559
Transparent
8641
Beige
8647
8642
8648
8643
8649
8644
Transparent
8631
8637
8632
8638
8633
8639
8634
8635
Ultra-Clear
8651
Transparent
8081
8025
8030
8035
8040
Beige
8181
8125
8130
8135
8140
Lock n
Roll
12"
(30 cm)
Lock n
Roll
12"
(30 cm)
Ultra-Clear
8031
Pouch
lamp
C
12"
(30 cm)
Ultra-Clear
8131
Transparent
88800*
Beige
88700*
88725
88730
88735
88740
88425
88430
88435
88440
SoftFlex,
Filter,
Lock n
Without Tape Roll
A4424
Lock n
SoftFlex,
Roll
No Filter,
Without Tape
Pouch
A5061
Clamp
7"
(18 cm)
12"
(30 cm)
Transparent 88400*, 88402**

Beige
88300*, 88302**
88325
88330
88335
88340
12"
(30 cm)
Ultra-Clear
88401
12"
(30 cm)
Ultra-Clear
88501
*Cut-to-fit up to 2-1/8" (55 mm) **Oval cut-to-fit 3 x 2.5" (75 mm x 65 mm)
14
1.888.740.8999

Premier One-Piece Drainable Pouches with Convex Barriers (see pages 4647)
Premier Pouches
Drainable with
Convex Barriers
Lock
Flextend, n Roll
No Filter,
With Tape
A4390
Pouch
Clamp
12" (30 cm)
Flextend,
With Filter, Lock
With Tape n Roll
A5057
convex product
Cut-to-Fit
Pre-Sized
up to 1" up to 1-1/2" up to 2" 3/4"

7/8"
1"
1-1/8" 1-1/4" 1-3/8" 1-1/2" 1-5/8" 1-3/4"
2"
(25 mm) (38 mm) (51 mm) (19 mm) (22 mm) (25 mm) (29 mm) (32 mm) (35 mm) (38 mm) (41 mm) (44 mm) (51 mm)
Transparent 8584
8588
85811
Transparent 8524
8528
8504
Transparent 8624
Beige
85211 8510
8511
8512
8513
8514
8515 85116
8508
85011 8590
8591
8592
8593
8594
8595
8596
8597
8599
8628
86211 8610
8611
8612
8613
8614
8615
8616
8617
8618
8619
85118 85119
Premier High Output Drainable Pouches (see page 48)
Premier Pouches
High Output Drainable with Flat Barriers
Flextend,
No Filter,
Without Tape
A6154
With Soft
Tap
Cut-to-Fit
up to 2-3/4" (70 mm)
up to 4-1/3" (110 mm)
Non Sterile
80070
80110
Sterile
81070
81110
12" (30 cm)
Premier One-Piece Closed Pouches (see pages 5051)

Cut-to-Fit
Premier Closed Pouches

9" (23 cm)
SoftFlex, Filter,
Without Tape
A4416
Pre-Sized
up to 2-1/8" (55 mm)
1" (25 mm)
1-3/16" (30 mm)
1-3/8" (35 mm)
Transparent
82400, 82402*
Beige
82300, 82302*
82325
82330
82335
Transparent
82500
Beige
82100
82125
82130
82135
7" (18 cm)
*Oval cut-to-fit 3 x 2.5" (75 mm x 65 mm)
www.hollister.com
15

Premier One-Piece Urostomy Pouches (see pages 5152)
FlatA4428
A4428
Flat
Premier Urostomy
Pouches
Convex A4430
Convex
Flextend
Cut-to-Fit
Pre-Sized
up to 1" up to 1-1/2" up to 2" up to 2-1/2" 1/2"

5/8"
3/4"
7/8"
1"
1-1/8" 1-1/4" 1-3/8" 1-1/2" 1-3/4"
2"
(25 mm) (38 mm) (51 mm) (64 mm) (13 mm) (15 mm) (19 mm) (22 mm) (25 mm) (29 mm) (32 mm) (35 mm) (38 mm) (44 mm) (51 mm)
Transparent
8460
8467
8462
8468
Ultra-Clear
8450
Beige
8440
8447
8442
8448
8478
84711
8480 8481 8482 8483 8484 8485 8486 8487 8488 8489
8438
84311
8490 8491 8492 8493 8494 8495 8496 8497 8498 8499
Transparent 8474
Beige
8434
8463 8469 8464
8443 8449 8444
convex product
Premier Single Use Kits (see pages 5253)

Premier Single-Use KitsNon Sterile
Drainable
(SoftFlex)
A5061
Drainable
(Flextend)
A4388
Urostomy
(Flextend)
A4428
16
up to 2-1/2" (64 mm)
Lock n Roll
Without Tape
Ultra-Clear
89001
Pouch Clamp
Without Tape
Ultra-Clear
89002
Lock n Roll
With Tape
Ultra-Clear
89004
Pouch Clamp
With Tape
Ultra-Clear
89003
Ultra-Clear
89005
With Tape
1.888.740.8999
Medicare Utilization Chart

Medicares Usual Maximum Quantity for Ostomy Supplies
The quantity of ostomy supplies needed by a patient is determined
primarily by the type of ostomy, its location, its construction, and
the condition of the skin surface surrounding the stoma. There will be
variation according to individual patient need and their needs may vary
over time. The table below lists the maximum number of items/units
of service that are usually medically necessary. The actual quantity
needed for a particular patient may be more or less than the amount
listed depending on the factors that affect the frequency of barrier and
pouch change. The medical necessity for use of a greater quantity of
supplies than the amounts listed must be clearly documented in the
patients medical record, and must be available upon request. If adequate
documentation is not provided when requested, the excess quantities will
be denied as not medically necessary.
Per LCD for Ostomy Supplies (L11502), NHIC effective 1-1-2011.
New Ostomy Codes added effective 1-1-2012.
HCPCS Long Description
Quantity
A4331 Extension drainage tubing, any type, any length, with

connector/adapter, for use with urinary leg bag
or urostomy pouch, each
A4357 Bedside drainage bag, day or night, with or without
2 ea /mo
anti-reflux device, with or without tube, each
A4361 Ostomy faceplate, each
3 ea/6 mo
A4362 Skin barrier, solid, 4 x 4 or equivalent, each
20 ea/mo
A4363 Ostomy clamp, any type, replacement only, each

A4364 Adhesive, liquid or equal, any type, per ounce
4 oz/mo
A4366 Ostomy vent, any type, each

A4367 Ostomy belt, each
1 ea/mo
A4368 Ostomy filter, any type, each

A4369 Ostomy skin barrier, liquid (spray, brush, etc.), per ounce
2 oz/mo
A4371 Ostomy skin barrier, powder, per ounce
10 oz/6 mo
A4372 Ostomy skin barrier, solid 4 x 4 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
A4375 Ostomy pouch, drainable, with faceplate attached, plastic, each
A4376 Ostomy pouch, drainable, with faceplate attached, rubber, each

A4377 Ostomy pouch drainable for use on faceplate,
10 ea/mo

plastic, each
A4378 Ostomy pouch, drainable, for use on faceplate, rubber, each
A4379 Ostomy pouch, urinary, with faceplate attached, plastic, each
A4380 Ostomy pouch, urinary, with faceplate attached, rubber, each

A4381 Ostomy pouch, urinary, for use with faceplate, plastic, each 10 ea/mo
A4382 Ostomy pouch, urinary, for use on faceplate,

heavy plastic, each
A4383 Ostomy pouch, urinary, for use on faceplate, rubber, each
A4384 Ostomy faceplate equivalent, silicone ring, each
A4385 Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear,

without built-in convexity, each
A4387 Ostomy pouch, closed, with barrier attached, with built-in

convexity (1 piece), 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
No
established usual maximum, refer to Medicare Utilization Guidelines.
www.hollister.com
17

Quantity

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


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

ostomy pouch, liquid, per fluid ounce
A4395 Ostomy deodorant for use in ostomy pouch, solid,

per tablet
A4396 Ostomy belt with peristomal hernia support

A4397 Irrigation supply, sleeve, each
4 ea/mo
A4398 Ostomy irrigation supply, bag, each
2 ea/6 mo
A4399 Ostomy irrigation supply, cone/catheter, with or without brush 2 ea/6 mo
A4402 Lubricant, per ounce
4 oz/mo
A4404 Ostomy ring, each
10 ea/mo
A4405 Ostomy skin barrier, non-pectin based, paste, per ounce
4 oz/mo
A4406 Ostomy skin barrier, pectin-based, paste, per ounce
4 oz/mo
A4407 Ostomy skin barrier, with flange (solid, flexible, or

accordion), extended wear, with built-in convexity,

4 x 4 inches or smaller, each

extended wear, with built-in convexity, larger than 4 x 4

inches, each

extended wear, without built-in convexity, 4 x 4 inches

or smaller, each

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

inches, each
A4411 Ostomy skin barrier, solid 4 x 4 or equivalent, extended

wear, with built-in convexity, each
A4412 Ostomy pouch, drainable, high output, for use on a

barrier with flange (2 piece system), without filter, each
A4413 Ostomy pouch, drainable, high output, for use on a

barrier with flange (2 piece system), with filter, each
20 ea/mo
accordion), without built-in convexity, 4 x 4 inches or
smaller, each
20 ea/mo
accordion), without built-in convexity, larger than
4 x 4 inches, each
A4416 Ostomy pouch, closed, with barrier attached, with filter
60 ea/mo
(1 piece), each
A4417 Ostomy pouch, closed, with barrier attached, with
60 ea/mo

built-in convexity, with filter (1 piece), each
A4418 Ostomy pouch, closed, without barrier attached, with
60 ea/mo

filter (1 piece), each
A4419 Ostomy pouch, closed, for use on barrier with
60 ea/mo

non-locking flange, with filter (2 piece), each
A4420 Ostomy pouch, closed, for use on barrier with locking
60 ea/mo

flange (2 piece), each
A4421 Ostomy supply; miscellaneous
A4422 Ostomy absorbent material (sheet/pad/crystal packet)

for use in ostomy pouch to thicken liquid stomal

output, each
No
18
1.888.740.8999
Quantity
A4423 Ostomy pouch, closed, for use on barrier with locking

60 ea/mo

flange, with filter (2 piece), each
A4424 Ostomy pouch, drainable, with barrier attached, with filter
20 ea/mo

(1 piece), each
A4425 Ostomy pouch, drainable, for use on barrier with
20 ea/mo

non-locking flange, with filter (2 piece system), each
20 ea/mo

locking flange (2 piece system), each
20 ea/mo

locking flange, with filter (2 piece system) each

attached, with faucet-type tap with valve (1 piece), each
A4429 Ostomy pouch, urinary, with barrier attached, with built-in
20 ea/mo
convexity, with faucet-type tap with valve (1 piece), each

attached, with built-in convexity, with faucet-type tap
with valve (1 piece), each
A4431 Ostomy pouch, urinary, with barrier attached, with
20 ea/mo
faucet-type tap, with valve (1 piece), each
A4432 Ostomy pouch, urinary, for use on barrier with
20 ea/mo
non-locking flange, with faucet-type tap with valve
(2 piece), each
20 ea/mo
locking flange (2 piece), each
20 ea/mo
locking flange, with faucet-type tap with valve
(2 piece), each
A4450 Tape, non-waterproof, per 18 square inches
40 ea (18 sq in)/mo
A4452 Tape, waterproof, per 18 square inches
40 ea (18 sq in)/mo
A4455 Adhesive remover or solvent (for tape, cement, or other
16 oz/6 mo
adhesive), per ounce
A4456 Adhesive remover, wipes, any type, each

A5051 Ostomy pouch, closed, with barrier attached
60 ea/mo

(1 piece), each
A5052 Ostomy pouch, closed, without barrier attached,
60 ea/mo

(1 piece), each
A5053 Ostomy pouch, closed, for use on faceplate, each
60 ea/mo
A5054 Ostomy pouch, closed, for use on barrier with flange
60 ea/mo
(2 piece), each
A5055 Stoma Cap
31 ea/mo

attached, with filter, (1 piece), each

attached, with built-in convexity, with filter, (1 piece), each
A5061 Ostomy pouch, drainable, with barrier attached
20 ea/mo

(1 piece), each
A5062 Ostomy pouch, drainable, without barrier attached
20 ea/mo

(1 piece), each
A5063 Ostomy pouch, drainable, for use on barrier with flange
20 ea/mo

(2 piece system), each
A5071 Ostomy pouch, urinary, with barrier attached
20 ea/mo

(1 piece), each
A5072 Ostomy pouch, urinary, without barrier attached
20 ea/mo

(1 piece), each
A5073 Ostomy pouch, urinary, for use on barrier with flange
20 ea/mo

(2 piece), each
No
www.hollister.com
19

A5081
A5082
A5083
A5093
A5102

A5120
A5121
A5122
A5126
A5131

A6216

A9270
No
Quantity
Continent device, plug for continent stoma

31 ea/mo
Continent device, catheter for continent stoma
1 ea/mo
Continent device, stoma absorptive cover for continent stoma 150 ea/mo
Ostomy accessory, convex insert
10 ea/mo
Bedside drainage bottle with or without tubing, rigid or
2 ea/6 mo
expandable, each
Skin barrier, wipes or swabs, each
150 ea/6 mo
Skin barrier, solid, 6 x 6 or equivalent, each
20 ea/mo
Skin barrier, solid, 8 x 8 or equivalent, each
20 ea/mo
Adhesive or non-adhesive, disk or foam pad
20 ea/mo
Appliance cleaner, incontinence and ostomy
1 ea (16 oz btl)/mo
appliances, per 16 ounce
Gauze, non-impregnated, non sterile, pad size 16 sq in
60 ea/mo
or less, without adhesive border, each dressing
Non-covered item or service
Did you know

How to Size Hollister Ostomy Pouches
A properly fitted pouch is essential to minimize stomal and
skin irritation and to obtain optimum pouch wear time. A
stoma measuring guide allows correct measurement of the
stoma. Measure the stoma accurately. Select the smallest
barrier opening which fits comfortably around the stoma
without actually touching it. Too large an opening will leave
skin exposed and could lead to skin irritation or erosion.
20
1.888.740.8999
New Image
Two-Piece
Pouching System
New Image
Two-Piece Pouching
System
New Image
Two-Piece
Pouching System
Hollister Ostomy. Details Matter.
www.hollister.com
New
New Image Two-Piece Pouching System

Color Matching System
To help you select compatible New Image components, every box label is
color-coded. First, select the proper skin barrier; then select a matching
color-coded pouch (red skin barrier box label is compatible to red
pouch box label).
1-3/4"
2-1/4"
(44 mm)
(57 mm)
2-3/4"
4"
(70 mm)
(102 mm)
Flat Skin Barriers with Integrated Floating Flanges

1460x (CUT-TO-FIT)
Flextend (extended wear) Skin Barrier
With Tape Border
Box of 5
HCPCS for 14602, 14603 & 14604: A4409

HCPCS for 14606: A4410
Stock No
Flange Size
Barrier Opening
(44 mm)
c 1-3/4"
(57 mm)
c 2-1/4"
2-3/4"
mm)
c 4" (70
(102 mm)
c
14602
14603
14604
14606
up to 1-1/4" (32 mm)

up to 1-3/4" (44 mm)
up to 2-1/4" (57 mm)
up to 3-1/2" (89 mm)
1560x (CUT-TO-FIT)
Without Tape Border
Box of 5
HCPCS for 15602 & 15603: A4409

Stock No
Flange Size
Barrier Opening
(44 mm)
c 1-3/4"
(57 mm)
c 2-1/4"
c 2-3/4" (70 mm)
15602
15603
15604
up to 1-1/4" (32 mm)

up to 1-3/4" (44 mm)
up to 2-1/4" (57 mm)
1420x (CUT-TO-FIT)
FlexWear (standard wear) Skin Barrier
With Tape Border
Box of 5
HCPCS for 14202, 14203 & 14204: A4414

Stock No
Flange Size
Barrier Opening
(44 mm)
c 1-3/4"
(57 mm)
c 2-1/4"
2-3/4"
mm)
c 4" (70
(102 mm)
c
14202
14203
14204
14206
up to 1-1/4" (32 mm)

up to 1-3/4" (44 mm)
up to 2-1/4" (57 mm)
up to 3-1/2" (89 mm)
1520x (CUT-TO-FIT)
Without Tape Border
Box of 5
HCPCS for 15202 & 15203: A4414

Stock No
15202
15203
15204
Flange Size
(44 mm)
c 1-3/4"
(57 mm)
c 2-1/4"
c 2-3/4" (70 mm)
www.hollister.com
Barrier Opening
up to 1-1/4" (32 mm)
up to 1-3/4" (44 mm)
up to 2-1/4" (57 mm)
25

Flat Skin Barriers with Integrated Floating Flanges (continued)
1470x (PRE-SIZED)
With Tape Border
Box of 5
HCPCS: A4409
Stock No
14701
14702
14703
14704
14705
14706
14707
14708
14709
Flange Size
Barrier Opening
(44 mm)
c 1-3/4"
(44 mm)
c 1-3/4"
(44 mm)
c 1-3/4"
1-3/4"
mm)
c 1-3/4" (44
mm)
c 1-3/4" (44
mm)
c 2-1/4" (44
mm)
c 2-1/4" (57
(57
c 2-1/4" (57 mm)
mm)
c
5/8" (16 mm)

3/4" (19 mm)
7/8" (22 mm)
1" (25 mm)
1-1/8" (29 mm)
1-1/4" (32 mm)
1-3/8" (35 mm)
1-1/2" (38 mm)
1-3/4" (44 mm)
1610x (PRE-SIZED)
Without Tape Border
Box of 5
HCPCS: A4409
Stock No
16101
16102
16103
16104
16105
16106
16107
16108
Flange Size
Barrier Opening
(44 mm)
c 1-3/4"
(44 mm)
c 1-3/4"
1-3/4"
mm)
c 1-3/4" (44
mm)
c 1-3/4" (44
mm)
c 1-3/4" (44
mm)
c 2-1/4" (44
(57
c 2-1/4" (57 mm)
mm)
c
5/8" (16 mm)

3/4" (19 mm)
7/8" (22 mm)
1" (25 mm)
1-1/8" (29 mm)
1-1/4" (32 mm)
1-3/8" (35 mm)
1-1/2" (38 mm)
1430x (PRE-SIZED)
With Tape Border
Box of 5
HCPCS: A4414
Stock No
14301
14302
14303
14304
14305
14306
14307
14308
14309
Flange Size
Barrier Opening
(44 mm)
c 1-3/4"
(44 mm)
c 1-3/4"
1-3/4"
mm)
c 1-3/4" (44
mm)
c 1-3/4" (44
mm)
c 1-3/4" (44
mm)
c 2-1/4" (44
(57
c 2-1/4" (57 mm)
c 2-1/4" (57 mm)
mm)
c
5/8" (16 mm)

3/4" (19 mm)
7/8" (22 mm)
1" (25 mm)
1-1/8" (29 mm)
1-1/4" (32 mm)
1-3/8" (35 mm)
1-1/2" (38 mm)
1-3/4" (44 mm)
1640x (PRE-SIZED)
Without Tape Border
Box of 5
HCPCS: A4414
Stock No
16401
16402
16403
16404
16405
16406
16407
16408
26
Flange Size
Barrier Opening
(44 mm)
c 1-3/4"
(44 mm)
c 1-3/4"
1-3/4"
mm)
c 1-3/4" (44
mm)
c 1-3/4" (44
mm)
c 1-3/4" (44
(44
c 2-1/4" (57 mm)
c 2-1/4" (57 mm)
mm)
c
5/8" (16 mm)

3/4" (19 mm)
7/8" (22 mm)
1" (25 mm)
1-1/8" (29 mm)
1-1/4" (32 mm)
1-3/8" (35 mm)
1-1/2" (38 mm)
1.888.740.8999
Flat Skin Barriers with Integrated Floating Flanges (continued)

1410x (shape-to-fit)
FormaFlex (extended wear) Skin Barrier
With Tape Border
Box of 5
HCPCS: A4409
Stock No
14102
14103
14104
Flange Size
(44 mm)
c 1-3/4
2-1/4 (57 mm)
c 2-3/4
(70 mm)
c
Barrier Opening
Up to 1-1/4 (32 mm)
Up to 1-11/16 (43 mm)
Up to 2-1/4 (57 mm)
FormaFlex Shape-to-Fit Skin Barrier

(Part of the New Image product line)
This convenient, versatile skin barrier is simple to shape
and reshape by hand for a customized fit around various
stoma sizes. No measuring, no tracing, no cutting.
The barrier is specially formulated to be soft and flexible
enough for users to attain just the right fit, and strong
and gentle enough to firmly adhere around the stoma.
All FormaFlex Shape-to-Fit Skin Barriers have a
5/8" starter hole.
FormaFlex Skin Barrier
Simple to shape.
www.hollister.com
27

Convex Skin Barriers with Integrated Floating Flanges
1480x (CUT-TO-FIT)
With Tape Border
Box of 5
HCPCS: A4407
Stock No
Flange Size
(44 mm)
c 1-3/4"
(57 mm)
c 2-1/4"
c 2-3/4" (70 mm)
14802
14803
14804
Barrier Opening
up to 1" (25 mm)
up to 1-1/2" (38 mm)
up to 2" (51 mm)
1580x (CUT-TO-FIT)
Without Tape Border
Box of 5
HCPCS for 15802 & 15803: A4407

Stock No
Flange Size
(44 mm)
c 1-3/4"
(57 mm)
c 2-1/4"
c 2-3/4" (70 mm)
15802
15803
15804
Barrier Opening
up to 1" (25 mm)
up to 1-1/2" (38 mm)
up to 2" (51 mm)
1440x (CUT-TO-FIT)
With Tape Border
Box of 5
HCPCS: A4373
Stock No
Flange Size
(44 mm)
c 1-3/4"
(57 mm)
c 2-1/4"
2-3/4"
(70 mm)
c
14402
14403
14404
Barrier Opening
up to 1" (25 mm)
up to 1-1/2" (38 mm)
up to 2" (51 mm)
1540x (CUT-TO-FIT)
Without Tape Border
Box of 5
HCPCS: A4373
Stock No
15402
15403
15404
Flange Size
(44 mm)
c 1-3/4"
(57 mm)
c 2-1/4"
c 2-3/4" (70 mm)
Barrier Opening
up to 1" (25 mm)
up to 1-1/2" (38 mm)
up to 2" (51 mm)
convex product
Did you know

Hollister Skin Barrier Packaging
Individually packaged
Product name, stock number, and color coding
clearly indicated
Discreet
Easy-to-open
Less shelf space required
28
1.888.740.8999
Convex Skin Barriers with Integrated Floating Flanges (continued)

149xx (PRE-SIZED)
With Tape Border
Box of 5
HCPCS: A4407
Stock No
14901
14902
14903
14904
14905
14906
14907
14908
14909
14910
14911
Flange Size
Barrier Opening
(44 mm)
c 1-3/4"
(44 mm)
c 1-3/4"
(44 mm)
c 1-3/4"
1-3/4"
mm)
c 2-1/4" (44
mm)
c 2-1/4" (57
mm)
c 2-1/4" (57
mm)
c 2-1/4" (57
(57
c 2-3/4" (70 mm)
c 2-3/4" (70 mm)
c 2-3/4" (70 mm)
mm)
c
5/8" (16 mm)

3/4" (19 mm)
7/8" (22 mm)
1" (25 mm)
1-1/8" (29 mm)
1-1/4" (32 mm)
1-3/8" (35 mm)
1-1/2" (38 mm)
1-5/8" (41 mm)
1-3/4" (44 mm)
2" (51 mm)
1590x (PRE-SIZED)
Without Tape Border
Box of 5
HCPCS: A4407
Stock No
15903
15904
15905
15906
Flange Size
Barrier Opening
(44 mm)
c 1-3/4"
(44 mm)
c 1-3/4"
(57 mm)
c 2-1/4"
c 2-1/4" (57 mm)
7/8" (22 mm)

1" (25 mm)
1-1/8" (29 mm)
1-1/4" (32 mm)
1450x (PRE-SIZED)
With Tape Border
Box of 5
HCPCS: A4373
Stock No
14503
14504
14505
14506
Flange Size
Barrier Opening
(44 mm)
c 1-3/4"
(44 mm)
c 1-3/4"
(57 mm)
c 2-1/4"
c 2-1/4" (57 mm)
7/8" (22 mm)

1" (25 mm)
1-1/8" (29 mm)
1-1/4" (32 mm)
1550x (PRE-SIZED)
Without Tape Border
Box of 5
HCPCS: A4373
Stock No
15503
15504
15505
15506
Flange Size
Barrier Opening
(44 mm)
c 1-3/4"
(44 mm)
c 1-3/4"
(57 mm)
c 2-1/4"
c 2-1/4" (57 mm)
7/8" (22 mm)

1" (25 mm)
1-1/8" (29 mm)
1-1/4" (32 mm)
convex product
www.hollister.com
29

Drainable Pouches
1818x/1819x
Drainable Pouch
With Integrated AF300 Filter
Lock n Roll Microseal Closure
Odor-Barrier Rustle-Free Film
With Belt Tabs
With ComfortWear Panels
- Transparent Body Side Only
- Beige Both Sides
Box of 10
HCPCS: A4425
Transparent
Stock No
Beige
Stock No
18192
18193
18194
18182
18183
18184
Flange
Size
Pouch
Length
(44 mm)
c 1-3/4"
(57 mm)
c 2-1/4"
c 2-3/4" (70 mm)
12" (30 cm)

12" (30 cm)
12" (30 cm)
1828x/1829x
Drainable Mini-Pouch
With Belt Tabs
- Beige Both Sides
Box of 20
HCPCS: A4425
Transparent
Stock No
Beige
Stock No
18292
18293
18294
18282
18283
18284
Flange
Size
Pouch
Length
(44 mm)
c 1-3/4"
(57 mm)
c 2-1/4"
2-3/4"
(70 mm)
c
7" (18 cm)

7" (18 cm)
7" (18 cm)
1811x/1813x/1800x
Box of 10
Drainable Pouch
Without Integrated Filter
Odor-Barrier Rustle-Free Film Transparent and Beige
Odor-Barrier Film Ultra-Clear
With Belt Tabs
- Transparent and Ultra-Clear Body Side Only
- Beige Both Sides
HCPCS: A5063
Transparent Beige
Stock No
Stock No
18132
18133
18134

18112
18113
18114

Ultra-Clear
Stock No
Flange
Size
Pouch
Length
18002
18003
18004
18006
(44 mm)
c 1-3/4"
(57 mm)
c 2-1/4"
2-3/4"
(70 mm)
c 4" (102
mm)
c
12" (30 cm)

12" (30 cm)
12" (30 cm)
12" (30 cm)
Did you know

Instructions for Use
Improved product instructions include large images that
show step-by-step application.
30
1.888.740.8999
Drainable Pouches (continued)

1814x/1816x
Drainable Pouch
Clamp Closure
With Belt Tabs
- Beige Both Sides
Box of 10
HCPCS: A4425
Transparent
Stock No
Beige
Stock No
18162
18163
18164
18142
18143
18144
Flange
Size
(44 mm)
c 1-3/4"
2-1/4" (57 mm)
c 2-3/4"
(70 mm)
c
Pouch
Length
12" (30 cm)
12" (30 cm)
12" (30 cm)
1810x/1812x/1817x
Box of 10
Drainable Pouch
Clamp Closure
Odor-Barrier Rustle-Free Film Transparent and Beige
With Belt Tabs
- Beige Both Sides

HCPCS: A5063
Transparent Beige
Stock No
Stock No
18102
18103
18104

Ultra-Clear
Stock No
Flange
Size
18172
18173
18174
18176
mm)
c 1-3/4" (44
(57 mm)
c 2-1/4"
(70 mm)
c 2-3/4"4" (102
mm)
c
12" (30 cm)

12" (30 cm)
12" (30 cm)
12" (30 cm)
1820x
Clamp Closure
With Belt Tabs
With ComfortWear Panels Both Sides
Box of 10
18122
18123
18124

Pouch
Length
HCPCS: A5063
Beige
Stock No
18202
18203
18204
Flange
Size
(44 mm)
c 1-3/4"
2-1/4" (57 mm)
c 2-3/4"
(70
mm)
c
Pouch
Length
9" (23 cm)
9" (23 cm)
9" (23 cm)
Did you know

Each box of New Image Pouches includes one disposal
bag per every pouch for discreet disposal
Each box of urostomy pouches includes one urostomy
tube adapter and ten (10) caps
Cutting guides are on all cut-to-fit barriers
www.hollister.com
31

High Output Drainable Pouches
1801x
Box of 10
Drainable Pouch
Soft Tap
Odor-Barrier Film
With Belt Tabs
With ComfortWear Panel Body Side Only

HCPCS: A4412
Ultra-Clear
Stock No
Flange
Size
Pouch
Length
1-3/4" (44 mm)

c 2-1/4"
mm)
c 2-3/4" (57
(70 mm)
c 4" (102
mm)
c
12" (30 cm)

12" (30 cm)
12" (30 cm)
12" (30 cm)
1836x/1837x
Closed Pouch
With Belt Tabs
- Beige Both Sides
Box of 60
18012
18013
18014
18016
Closed Pouches

HCPCS: A4419
Transparent
Stock No
Beige
Stock No
18362
18363
18364
18372
18373
18374
Flange
Size
1-3/4" (44 mm)
c 2-1/4"
mm)
c 2-3/4" (57
(70 mm)
c
1832x
Closed Pouch
With Belt Tabs
With QuietWear Pouch Material
HCPCS: A4419
Pouch
Length
9" (23 cm)
9" (23 cm)
9" (23 cm)
Box of 30
Beige
Stock No
Flange
Size
Pouch
Length
1-3/4" (44 mm)

c 2-1/4"
mm)
c 2-3/4" (57
(70 mm)
c
18322
18323
18324
1838x/1839x
Closed Mini-Pouch
With Belt Tabs
- Beige Both Sides
9" (23 cm)

9" (23 cm)
9" (23 cm)
Box of 60
HCPCS: A4419
32
Transparent
Stock No
Beige
Stock No
18382
18383
18384
18392
18393
18394
Flange
Size
(44 mm)
c 1-3/4"
(57 mm)
c 2-1/4"
c 2-3/4" (70 mm)
Pouch
Length
7" (18 cm)
7" (18 cm)
7" (18 cm)
1.888.740.8999
Closed Pouches (continued)

1833x
1873x
Closed Pouch
With Belt Tabs
With QuietWear Pouch Material
HCPCS: A5054
Box of 30
Box of 60
Stock No
Box of 30
Stock No
Box of 60
18332
18333
18334
18732
18733
18734
Flange
Size
(44 mm)
c 1-3/4"
(57 mm)
c 2-1/4"
2-3/4"
(70 mm)
c
1835x
1875x
Closed Mini-Pouch
With Belt Tabs
Pouch
Length
9" (23 cm)
9" (23 cm)
9" (23 cm)
Box of 30
Box of 60
HCPCS: A5054
Stock No
Box of 30
Stock No
Box of 60
18352
18353
18354
18752
18753
18754
Flange
Size
(44 mm)
c 1-3/4"
(57 mm)
c 2-1/4"
2-3/4"
(70 mm)
c
Pouch
Length
7" (18 cm)
7" (18 cm)
7" (18 cm)
Irrigator Sleeve
1815x
Drainable Irrigator Sleeve
Odor-Barrier Film
With Belt Tabs
Includes Clamp
Box of 5
HCPCS: A4397
Transparent
Stock No
Flange
Size
Pouch
Length
(44 mm)
c 1-3/4
2-1/4 (57 mm)
c 2-3/4
(70 mm)
c
18152
18153
18154
30 (76 cm)
30 (76 cm)
30 (76 cm)
Urostomy Pouches
1840x/1841x/1842x
Box of 10
Urostomy Pouch
With Belt Tabs
- Beige Both Sides

HCPCS: A4432
Transparent Beige
Stock No
Stock No
18402
18403
18404
18412
18413
18414
Ultra-Clear
Stock No
Flange
Size
18422
18423
18424
(44 mm)
c 1-3/4"
(57 mm)
c 2-1/4"
c 2-3/4" (70 mm)
www.hollister.com
Pouch
Length
9" (23 cm)
9" (23 cm)
9" (23 cm)
33

Non Sterile Kits Drainable
1900x
Box of 5
Colostomy/Ileostomy Kit includes:
(1) 1420x (FlexWear) with Tape Border
(1) 1800x (Lock n Roll Microseal Closure) Ultra-Clear
(1) 7767 Loop Ostomy Bridge (in 19006 only)
Single-Use Package

HCPCS for 19002, 19003 & 19004: A5063 + A4414

HCPCS for 19006: A5063 + A4415
Ultra-Clear
Stock No
Flange
Size
(44 mm)
c 1-3/4"
2-1/4" (57 mm)
c 2-3/4"
(70
mm)
c
c 4" (102 mm)
19002
19003
19004
19006
Barrier
Opening
up to 1-1/4" (32 mm)
up to 1-3/4" (44 mm)
up to 2-1/4" (57 mm)
up to 3-1/2" (89 mm)
1910x
Box of 5
(1) 1817x (Clamp Closure) Ultra-Clear
Single-Use Package

HCPCS for 19102, 19103 & 19104: A5063 + A4414

HCPCS for 19106: A5063 + A4415
Ultra-Clear
Stock No
Flange
Size
(44 mm)
c 1-3/4"
2-1/4" (57 mm)
c 2-3/4"
(70 mm)
c 4" (102
mm)
c
19102
19103
19104
19106
Barrier
Opening
up to 1-1/4" (32 mm)
up to 1-3/4" (44 mm)
up to 2-1/4" (57 mm)
up to 3-1/2" (89 mm)
Non Sterile Kits Urostomy

1920x
Urostomy Kit includes:
(1) 1460x (Flextend) with Tape Border
(1) 1842x (Ultra-Clear Pouch Film)
(1) 7331
Single-Use Package
Box of 5
HCPCS: A4432 + A4409

Ultra-Clear
Stock No
19202
19203
19204
34
Flange
Size
(44 mm)
c 1-3/4"
2-1/4" (57 mm)
c 2-3/4"
(70
mm)
c
Barrier
Opening
up to 1-1/4" (32 mm)
up to 1-3/4" (44 mm)
up to 2-1/4" (57 mm)
1.888.740.8999
Sterile Kits Drainable

1905x
Box of 5
(1) 1800x (Lock n Roll Microseal Closure) Ultra-Clear
Single-Use Package

HCPCS for 19052, 19053 & 19054: A5063 + A4414

HCPCS for 19056: A5063 + A4415
Ultra-Clear
Stock No
Flange
Size
Barrier
Opening
(44 mm)
c 1-3/4"
(57 mm)
c 2-1/4"
2-3/4"
(70 mm)
c 4" (102
mm)
c
19052
19053
19054
19056
up to 1-1/4" (32 mm)

up to 1-3/4" (44 mm)
up to 2-1/4" (57 mm)
up to 3-1/2" (89 mm)
1915x
Box of 5
(1) 1817x (Clamp Closure) Ultra-Clear
Single-Use Package

HCPCS for 19152, 19153 & 19154: A5063 + A4414

HCPCS for 19156: A5063 + A4415
Ultra-Clear
Stock No
Flange
Size
Barrier
Opening
(44 mm)
c 1-3/4"
(57 mm)
c 2-1/4"
(70 mm)
c 2-3/4"4" (102
mm)
c
19152
19153
19154
19156
up to 1-1/4" (32 mm)

up to 1-3/4" (44 mm)
up to 2-1/4" (57 mm)
up to 3-1/2" (89 mm)
Sterile Kits Urostomy

1925x
Urostomy Kit includes:
(1) 1460x (Flextend) with Tape Border
(1) 1842x (Ultra-Clear Pouch Film)
(1) 7331
Single-Use Package
Box of 5
HCPCS: A4432 + A4409

Ultra-Clear
Stock No
19252
19253
19254
Flange
Size
(44 mm)
c 1-3/4"
2-1/4" (57 mm)
c 2-3/4"
(70
mm)
c
www.hollister.com
Barrier
Opening
up to 1-1/4" (32 mm)
up to 1-3/4" (44 mm)
up to 2-1/4" (57 mm)
35
Premier
One-Piece
Pouching System
Premier
One-Piece
Pouching System
Premier
One-Piece
Pouching System
www.hollister.com
Pre
Premier One-Piece Pouching System

Drainable Pouches with Flat Barriers
8331 (CUT-TO-FIT)
Box of 10
Drainable Pouch
With Tape Border
Lock n Roll Closure
HCPCS: A5056
Transparent
Stock No
Barrier Opening
8331
Pouch Length
up to 2-1/2" (64 mm)
8531/8551 (CUT-TO-FIT)
Drainable Pouch
With Tape Border
Lock n Roll Closure
Odor-Barrier Rustle-Free Film Beige
- Ultra-Clear Body Side Only
- Beige Both Sides
12" (30 cm)
Box of 10
HCPCS: A4388
Ultra-Clear
Stock No
8531
Beige
Stock No
Barrier Opening
8551
up to 2-1/2" (64 mm)
Pouch Length
12" (30 cm)
8631/8651 (CUT-TO-FIT)
Box of 10
Drainable Pouch
With Tape Border
Clamp Closure
Odor-Barrier Rustle-Free Film Transparent
HCPCS: A4388
Transparent
Stock No
8631
Ultra-Clear
Stock No
Barrier Opening
8651
up to 2-1/2" (64 mm)
Pouch Length
12" (30 cm)
8641 (CUT-TO-FIT)
Box of 10
With Tape Border
Clamp Closure
HCPCS: A4388
Transparent
Stock No
8641
Barrier Opening
Pouch Length
up to 2-1/2" (64 mm)
www.hollister.com
9" (23 cm)
41

Drainable Pouches with Flat Barriers (continued)
8081/8181 (CUT-TO-FIT)
Drainable Pouch
With Tape Border
Lock n Roll Closure
- Beige Both Sides
Box of 10
HCPCS: A4424
Transparent
Stock No
8081
Beige
Stock No
Barrier Opening
8181
up to 2-1/2" (64 mm)
8031 (CUT-TO-FIT)
Drainable Pouch
With Tape Border
Without Integrated AF300 Filter
Lock n Roll Closure
Odor-Barrier Film
With ComfortWear Panel
Body Side Only
Pouch Length
12" (30 cm)
Box of 10
HCPCS: A5061
Ultra-Clear
Stock No
Barrier Opening
8031
up to 2-1/2" (64 mm)
Pouch Length
12" (30 cm)
8131 (CUT-TO-FIT)
Box of 10
Drainable Pouch
With Tape Border
Without Integrated AF300 Filter
Clamp Closure
Odor-Barrier Film
HCPCS: A5061
Ultra-Clear
Stock No
Barrier Opening
8131
Pouch Length
up to 2-1/2" (64 mm)
12" (30 cm)
88300/88400 (CUT-TO-FIT)
Drainable Pouch
SoftFlex (standard wear) Skin Barrier
Without Tape Border
- Beige Both Sides
Box of 10
HCPCS: A4424
Transparent
Stock No
88400
42
Beige
Stock No
Barrier Opening
88300
up to 2-1/8" (55 mm)
Pouch Length
12" (30 cm)
1.888.740.8999

88800/88700 (CUT-TO-FIT)
Without Tape Border
- Beige Both Sides
Box of 20
HCPCS: A4424
Transparent
Stock No
Beige
Stock No
Barrier Opening
88700
up to 2-1/8" (55 mm)
7" (18 cm)
88302/88402 (OVAL CUT-TO-FIT)

Drainable Pouch
Without Tape Border
- Beige Both Sides
Box of 10
88800
Pouch Length
HCPCS: A4424
Transparent
Stock No
88402
Beige
Stock No
Barrier Opening
88302
3 x 2.5" (75 mm x 65 mm)
Pouch Length
12" (30 cm)
88401 (CUT-TO-FIT)
Box of 10
Drainable Pouch
Without Tape Border
Odor-Barrier Film
HCPCS: A5061
Ultra-Clear
Stock No
88401
Barrier Opening
Pouch Length
up to 2-1/2" (64 mm)
12" (30 cm)
Did you know

Cut-to-fit products have a 1/2" (13 mm) starter hole and
can be used as a pre-sized product for some small stomas
(excludes Pouchkins products)
Cutting guides are provided on all cut-to-fit barriers
Drainable pouches without the Lock n Roll Closure include
one pouch clamp per box
We do not recommend the use of Skin Gel Wipes (Stock
No 7917) or other brands of skin preps with Flextend Skin
Barriers as they may decrease wear time
www.hollister.com
43

88501 (CUT-TO-FIT)
Box of 10
Drainable Pouch
Without Tape Border
Clamp Closure
Odor-Barrier Film
HCPCS: A5061
Ultra-Clear
Stock No
Barrier Opening
88501
Pouch Length
up to 2-1/2" (64 mm)
12" (30 cm)
853x/855x (PRE-SIZED)
Drainable Pouch
With Tape Border
Lock n Roll Closure
- Beige Both Sides
Box of 10
HCPCS: A4388
Transparent
Stock No
8532
8538
8533
8539
Beige
Stock No
Barrier Opening
Pouch Length
8552
8558
8553
8559
1" (25 mm)

1-1/4" (32 mm)
1-1/2" (38 mm)
1-3/4" (44 mm)
12" (30 cm)

12" (30 cm)
12" (30 cm)
12" (30 cm)
863x (PRE-SIZED)
Box of 10
Drainable Pouch
With Tape Border
Clamp Closure
HCPCS: A4388
Transparent
Stock No
8637
8632
8638
8633
8639
8634
8635
44
Barrier Opening
Pouch Length
3/4" (19 mm)

1" (25 mm)
1-1/4" (32 mm)
1-1/2" (38 mm)
1-3/4" (44 mm)
2" (51 mm)
2-1/2" (64 mm)
12" (30 cm)

12" (30 cm)
12" (30 cm)
12" (30 cm)
12" (30 cm)
12" (30 cm)
12" (30 cm)
1.888.740.8999

864x (PRE-SIZED)
With Tape Border
Clamp Closure
Box of 10
HCPCS: A4388
Beige
Stock No
Barrier Opening
Pouch Length
3/4" (19 mm)

1" (25 mm)
1-1/4" (32 mm)
1-1/2" (38 mm)
1-3/4" (44 mm)
2" (51 mm)
9" (23 cm)

9" (23 cm)
9" (23 cm)
9" (23 cm)
9" (23 cm)
9" (23 cm)
80xx/81xx (PRE-SIZED)
Drainable Pouch
With Tape Border
Lock n Roll Closure
- Beige Both Sides
Box of 10
8647
8642
8648
8643
8649
8644
HCPCS: A4424
Transparent
Stock No
8025
8030
8035
8040
Beige
Stock No
Barrier Opening
Pouch Length
8125
8130
8135
8140
1" (25 mm)

1-3/16" (30 mm)
1-3/8" (35 mm)
1-9/16" (40 mm)
12" (30 cm)

12" (30 cm)
12" (30 cm)
12" (30 cm)
883xx/884xx (PRE-SIZED)
Drainable Pouch
Without Tape Border
- Beige Both Sides
Box of 10
HCPCS: A4424
Transparent
Stock No
88425
88430
88435
88440
Beige
Stock No
Barrier Opening
Pouch Length
88325
88330
88335
88340
1" (25 mm)

1-3/16" (30 mm)
1-3/8" (35 mm)
1-9/16" (40 mm)
12" (30 cm)

12" (30 cm)
12" (30 cm)
12" (30 cm)
www.hollister.com
45

887xx (PRE-SIZED)
Without Tape Border
- Beige Both Sides
Box of 20
HCPCS: A4424
Beige
Stock No
Barrier Opening
Pouch Length
88725
88730
88735
88740
1" (25 mm)

1-3/16" (30 mm)
1-3/8" (35 mm)
1-9/16" (40 mm)
7" (18 cm)

7" (18 cm)
7" (18 cm)
7 (18 cm)
Drainable Pouches with Convex Barriers

858x (Cut-To-Fit)
Drainable Pouch
With Tape Border
Integrated AF300 Filter
Lock n Roll Closure
Box of 5
HCPCS Code: A5057

Transparent
Stock No
8584
8588
85811
Barrier Opening
Pouch Length
up to 1" (25 mm)

up to 1-1/2" (38 mm)
up to 2" (51 mm)
12" (30 cm)

12" (30 cm)
12" (30 cm)
852x/850x (CUT-TO-FIT)
Drainable Pouch
With Tape Border
Lock n Roll Closure
With Belt Tabs
- Beige Both Sides
Box of 5
HCPCS: A4390
Transparent
Stock No
8524
8528
85211
46
Beige
Stock No
8504
8508
85011
Barrier Opening
Pouch Length
up to 1" (25 mm)

up to 1-1/2" (38 mm)
up to 2" (51 mm)
12" (30 cm)

12" (30 cm)
12" (30 cm)
1.888.740.8999
Drainable Pouches with Convex Barriers (continued)

862x (CUT-TO-FIT)
Drainable Pouch
With Tape Border
Clamp Closure
With Belt Tabs
Box of 5
HCPCS: A4390
Transparent
Stock No
8624
8628
86211
Barrier Opening
Pouch Length
up to 1" (25 mm)

up to 1-1/2" (38 mm)
up to 2" (51 mm)
12" (30 cm)

12" (30 cm)
12" (30 cm)
Drainable Pouch
With Tape Border
Lock n Roll Closure
With Belt Tabs
- Beige Both Sides
Box of 5
HCPCS: A4390
Transparent
Stock No
8510
8511
8512
8513
8514
8515
85116

85118
85119
Beige
Stock No
Barrier Opening
Pouch Length
8590
8591
8592
8593
8594
8595
8596
8597

8599
3/4" (19 mm)

7/8" (22 mm)
1" (25 mm)
1-1/8" (29 mm)
1-1/4" (32 mm)
1-3/8" (35 mm)
1-1/2" (38 mm)
1-5/8" (41 mm)
1-3/4" (44 mm)
2" (51 mm)
12" (30 cm)

12" (30 cm)
12" (30 cm)
12" (30 cm)
12" (30 cm)
12" (30 cm)
12" (30 cm)
12" (30 cm)
12" (30 cm)
12" (30 cm)
861x (PRE-SIZED)
Drainable Pouch
With Tape Border
Clamp Closure
With Belt Tabs
Box of 5
HCPCS: A4390
Transparent
Stock No
8610
8611
8612
8613
8614
8615
8616
8617
8618
8619
Barrier Opening
Pouch Length
3/4" (19 mm)

7/8" (22 mm)
1" (25 mm)
1-1/8" (29 mm)
1-1/4" (32 mm)
1-3/8" (35 mm)
1-1/2" (38 mm)
1-5/8" (41 mm)
1-3/4" (44 mm)
2" (51 mm)
12" (30 cm)

12" (30 cm)
12" (30 cm)
12" (30 cm)
12" (30 cm)
12" (30 cm)
12" (30 cm)
12" (30 cm)
12" (30 cm)
12" (30 cm)
convex product
www.hollister.com
47

High Output Drainable Pouches
80070/80110 (CUT-TO-FIT)
Box of 10
Non Sterile, Drainable Pouch
Flextend (extended wear) Skin Barrier Flat
With Soft Tap
With Access Window
Odor-Barrier Film
HCPCS: A6154
Ultra-Clear
Stock No
Barrier Opening
80070
80110
up to 2-3/4" (70 mm)

up to 4-1/3" (110 mm)
Pouch Length
12" (30 cm)
12" (30 cm)
81070/81110 (CUT-TO-FIT)
Box of 5
Sterile, Drainable Pouch
Flextend (extended wear) Skin Barrier Flat
With Soft Tap
With Access Window
Odor-Barrier Film
HCPCS: A6154
Ultra-Clear
Stock No
81070
81110
48
Barrier Opening
up to 2-3/4" (70 mm)
up to 4-1/3" (110 mm)
Pouch Length
12" (30 cm)
12" (30 cm)
1.888.740.8999
Hollister Universal Catheter Access Port

9779
Graduated nipple and punch allows introduction
of catheter or drain through pouch
Sterile
Stock No
Quantity/Box
9779
Wound Drainage Collectors

970x/977x
For Management of Draining Wounds, Fistulae,
or Draining Tube Sites
Available With and Without FlexWear (standard wear)
Skin Barriers Flat
Sterile and Non Sterile Drainable Pouches
Odor-Barrier Film
With Access Window
Reclosable Cap
Without Starter Hole
HCPCS: A6154
With Barrier: Non Sterile
Stock No
Description
9773
9776
9778
Quantity/
Box
Small (for wounds up to 3")

Medium (for wounds up to 3-3/4")
Large (for wounds up to 4" x 8")
With Barrier: Sterile

Stock No
Description
9701
9702
9703
Quantity/
Box

Without Barrier: Sterile

Stock No
Description
9772
9775
9777
5
5
3
Quantity/
Box

www.hollister.com
10
10
3
10
10
3
49

Closed Pouches
82300/82400 (CUT-TO-FIT)
Box of 30
Closed Pouch
SoftFlex (standard wear) Skin Barrier Flat
Without Tape Border
- Beige Both Sides
HCPCS: A4416
Transparent
Stock No
82400
Beige
Stock No
Barrier Opening
82300
up to 2-1/8" (55 mm)
Pouch Length
9" (23 cm)
82302/82402 (OVAL CUT-TO-FIT)

Box of 30
Closed Pouch
Without Tape Border
- Beige Both Sides
HCPCS: A4416
Transparent
Stock No
82402
Beige
Stock No
Barrier Opening
82302
3 x 2.5" (75 mm x 65 mm)
Pouch Length
9" (23 cm)
82100/82500 (CUT-TO-FIT)
Box of 30
Closed Mini-Pouch
Without Tape Border
- Beige Both Sides
HCPCS: A4416
Transparent
Stock No
82500
Beige
Stock No
Barrier Opening
82100
up to 2-1/8" (55 mm)
Pouch Length
7" (18 cm)
823xx (PRE-SIZED)
Box of 30
Closed Pouch
Without Tape Border
HCPCS: A4416
50
Beige
Stock No
Barrier Opening
Pouch Length
82325
82330
82335
1" (25 mm)

1-3/16" (30 mm)
1-3/8" (35 mm)
9" (23 cm)

9" (23 cm)
9" (23 cm)
1.888.740.8999
Closed Pouches (continued)

821xx (PRE-SIZED)
Box of 30
Closed Mini-Pouch
Without Tape Border
HCPCS: A4416
Beige
Stock No
Barrier Opening
Pouch Length
82125
82130
82135
1" (25 mm)

1-3/16" (30 mm)
1-3/8" (35 mm)
7" (18 cm)

7" (18 cm)
7" (18 cm)
Stoma Cap
1796 (PRE-SIZED)
Box of 30
Stoma Cap
Without Tape Border
With Integrated Filter
Odor-Barrier Film
HCPCS: A5055
Beige
Stock No
Barrier Opening
Size
1796
1-15/16" (50 mm)
4" (102 mm)
Urostomy Pouches with Flat Barriers

8450/8460/8440 (CUT-TO-FIT)
Urostomy Pouch
With Tape Border
- Beige Both Sides
Box of 10
HCPCS: A4428
Transparent Ultra-Clear
Stock No
Stock No
8460
Beige
Stock No
Barrier Opening
8440
up to 2-1/2" (64 mm)
8450
Urostomy Pouch
With Tape Border
- Beige Both Sides
Pouch Length
9" (23 cm)
Box of 10
HCPCS: A4428
Transparent
Stock No
8467
8462
8468
8463
8469
8464
Beige
Stock No
Barrier Opening
Pouch Length
8447
8442
8448
8443
8449
8444
3/4" (19 mm)

1" (25 mm)
1-1/4" (32 mm)
1-1/2" (38 mm)
1-3/4" (44 mm)
2" (51 mm)
9" (23 cm)

9" (23 cm)
9" (23 cm)
9" (23 cm)
9" (23 cm)
9" (23 cm)
www.hollister.com
51

Urostomy Pouches with Convex Barriers
847x/843x (CUT-TO-FIT)
Urostomy Pouch
With Tape Border
With Belt Tabs
- Beige Both Sides
Box of 5
HCPCS: A4430
Transparent
Stock No
Beige
Stock No
8474
8478
84711
8434
8438
84311
Barrier Opening
Pouch Length
up to 1" (25 mm)

up to 1-1/2" (38 mm)
up to 2" (51 mm)
9" (23 cm)

9" (23 cm)
9" (23 cm)
Urostomy Pouch
With Tape Border
With Belt Tabs
- Beige Both Sides
Box of 5
HCPCS: A4430
Transparent
Stock No
8480
8481
8482
8483
8484
8485
8486
8487
8488
8489
Beige
Stock No
Barrier Opening
Pouch Length
8490
8491
8492
8493
8494
8495
8496
8497
8498
8499
1/2" (13 mm)

5/8" (16 mm)
3/4" (19 mm)
7/8" (22 mm)
1" (25 mm)
1-1/8" (29 mm)
1-1/4" (32 mm)
1-3/8" (35 mm)
1-1/2" (38 mm)
1-3/4" (44 mm)
9" (23 cm)

9" (23 cm)
9" (23 cm)
9" (23 cm)
9" (23 cm)
9" (23 cm)
9" (23 cm)
9" (23 cm)
9" (23 cm)
9" (23 cm)
Non Sterile Kits Drainable

89001 (CUT-TO-FIT)
Box of 5 Kits
Colostomy/Ileostomy Kit Includes:
(1) 88401 SoftFlex (standard wear) Skin Barrier
Without Tape Border
Lock n Roll Closure
Single-Use Package
HCPCS: A5061
Ultra-Clear
Stock No
Barrier Opening
89001
up to 2-1/2" (64 mm)
Pouch Length
12" (30 cm)
convex product
52
1.888.740.8999
Non Sterile Kits Drainable (continued)

89002 (CUT-TO-FIT)
Box of 5 Kits
(1) 88501 SoftFlex (standard wear) Skin Barrier
Without Tape Border
Clamp Closure
Single-Use Package
HCPCS: A5061
Ultra-Clear
Stock No
Barrier Opening
89002
Pouch Length
up to 2-1/2" (64 mm)
12" (30 cm)
89003 (CUT-TO-FIT)
Box of 5 Kits
(1) 8651 Flextend (extended wear) Skin Barrier
With Tape Border
Clamp Closure
Single-Use Package
HCPCS: A4388
Ultra-Clear
Stock No
Barrier Opening
89003
Pouch Length
up to 2-1/2" (64 mm)
12" (30 cm)
89004 (CUT-TO-FIT)
Box of 5 Kits
With Tape Border
Lock n Roll Closure
Single-Use Package
HCPCS: A4388
Ultra-Clear
Stock No
Barrier Opening
89004
Pouch Length
up to 2-1/2" (64 mm)
12" (30 cm)
Non Sterile Kits Urostomy

89005 (CUT-TO-FIT)
Box of 5 Kits
Urostomy Kit Includes:
With Tape Border
(1) 7331
Single-Use Package
HCPCS: A4428
Ultra-Clear
Stock No
89005
Barrier Opening
Pouch Length
up to 2-1/2" (64 mm)
www.hollister.com
9" (23 cm)
53
Pouchkins
Pediatric
Pouching System
Pouchkins
Pediatric
Pouching System
Pouchkins
Pediatric
Pouching System
www.hollister.com
Pou
Pouchkins Pediatric Pouching System

Premie Pouch
3777 (CUT-TO-FIT)
Box of 15
Use as a Premie Closed or Drainable Pouch
Without Tape Border
Odor-Barrier Film
Soft Wire Closure
Without ComfortWear Panels
HCPCS: A5052 + A4362

Ultra-Clear
Stock No
Barrier Opening
3777
Pouch Length
up to 5/8" (15 mm)
4-1/2" (11.5 cm)
Newborn Pouch
3778 (CUT-TO-FIT)
Box of 15
Newborn Pouch; Use With or Without the Drain Valve
Without Tape Border
Soft Wire Closure
Odor-Barrier Film
HCPCS: A5062 + A4362

Ultra-Clear
Stock No
3778
Barrier Opening
Pouch Length
up to 1-3/8" x 7/8" (35 mm x 22 mm)
6-1/2" (16 cm)
One-Piece Pouches
3796 (CUT-TO-FIT)
Box of 10
Drainable Pouch
Without Tape Border
With ComfortWear Panels Body Side Only
HCPCS: A5061
Transparent
Stock No
3796
Barrier Opening
Pouch Length
up to 1-1/2" (38 mm)
6-1/2" (16 cm)
3795 (CUT-TO-FIT)
Box of 10
Drainable Pouch
Without Tape Border
HCPCS: A4424
Transparent
Stock No
Barrier Opening
3795
www.hollister.com
up to 2" (51 mm)
Pouch Length
7" (18 cm)
59
Pouchkins Pediatric Pouching System

One-Piece Pouches (continued)
3797 (CUT-TO-FIT)
Box of 10
Urostomy Pouch
Without Tape Border
HCPCS: A5071
Transparent
Stock No
3797
Barrier Opening
Pouch Length
up to 1-1/2" (38 mm)
8-3/4" (22 cm)
Two-Piece Skin Barrier

3761 (CUT-TO-FIT)
Box of 5
Without Tape Border
HCPCS: A4414
Transparent
Stock No
Flange Size
c 1-3/4" (44 mm)
3761
Barrier Opening
up to 1-1/4" (32 mm)
Two-Piece Pouches
3799
Box of 10
Drainable Pouch
With Belt Tabs
HCPCS: A5063
Transparent
Stock No
Flange Size
c 1-3/4" (44 mm)
3799
18292/18282
Drainable Pouch
With Belt Tabs
With ComfortWear Panel
- Beige Both Sides
Pouch Length
6-1/2" (16 cm)
Box of 20
HCPCS: A4425
60
Transparent
Stock No
Beige
Stock No
18292
18282
Flange
Size
c 1-3/4" (44 mm)
Pouch
Length
7" (18 cm)
1.888.740.8999
Two-Piece Pouches (continued)

18382/18392
Closed Mini-Pouch
With Belt Tabs
- Beige Both Sides
Box of 60
HCPCS: A4419
Transparent
Stock No
Beige
Stock No
18382
18392
Flange
Size
Pouch
Length
c 1-3/4" (44 mm)
7" (18 cm)
18402/18412
Urostomy Pouch
With Belt Tabs
- Beige Both Sides
Box of 10
HCPCS: A4432
Transparent
Stock No
Beige
Stock No
18402
18412
Flange
Size
Pouch
Length
c 1-3/4" (44 mm)
9" (23 cm)
Pediatric Ostomy Belt

3774
Ostomy Belt
- White Color
Single Unit
HCPCS: A4367
Stock No
Length
3774
10"- 17" (25 cm-43 cm)
Did you know

Pouchkins Product Features:
SoftFlex Skin Barrier with no starter hole
Integrated Floating Flange
No tape borders
Integrated Lock n Roll Closure
ComfortWear Panel
www.hollister.com
61
Ostomy
Accessories
Ostomy
Accessories
Adapt
Ostomy Accessories
www.hollister.com
Ost
Ostomy Accessories
Adapt Skin Barrier Accessories
780x
Adapt Barrier Rings (Flat)
Flextend M (extended wear) Material
Box of 10
HCPCS: A4385
Stock No
Outer Diameter
7805
7806
2" (48 mm)

4" (98 mm)
795xx
Adapt Convex Barrier Rings
Flextend (extended wear) Material
Box of 10
HCPCS: A4411
Stock No
Inner Diameter
79520
79530
79540
13/16" (20 mm) can be stretched to 1" (25 mm)

1-3/16" (30 mm) can be stretched to 1-3/8" (35 mm)
1-9/16" (40 mm) can be stretched to 1-3/4" (45 mm)
796xx
Adapt Oval Convex Barrier Rings
Box of 10
HCPCS: A4411
NEW!
Stock No
Inner Diameter
79601

79602

79603

7/8" x 1-1/2" (22 mm x 38 mm)

can be stretched to 1-1/8" x 1-3/4" (27 mm x 43 mm)
1-3/16" x 1-7/8 (30 mm x 48 mm)
1-1/2" x 2-3/16" (38 mm x 56 mm)
79400
Adapt Barrier Strips
Box of 10
HCPCS: A4385
Stock No
Size
Length
79400
60 g
5-1/8" (13 cm)
Adapt Skin Barrier Paste

79300/79301
Adapt Paste
HCPCS: A4406
Stock No
Description
Quantity
79300
79301
2 oz (57 g) tube
0.5 oz (14 g) tube
Box of 1
Box of 20
Adapt Stoma Powder

7906
Adapt Stoma Powder
Box of 1
HCPCS: A4371
Stock No
Description
7906
1 oz (28.3 g) puff bottle
Adapt Odor Eliminator and Lubricant

78500/78501
Adapt Lubricating Deodorant
HCPCS Code: A4394

Stock No
Description
78500
78501
8 oz (236 mL) bottle

0.27 oz (8 mL) packet
www.hollister.com
Quantity
Box of 1
50 Packets/Box
67
Ostomy Accessories
Adapt Ostomy Belts
7300/7299
Ostomy Belts
Beige Color
Box of 10
HCPCS: A4367
Stock No
Size
7300
7299
23"-43" (58 cm-109 cm) Medium

34"-65" (86 cm-165 cm) Large
Skin Barrier
8800
8801

Stock No
Size
8800
8801
4 x 4" (10 cm x 10 cm)

8 x 8" (20 cm x 20 cm)
Box of 5
Box of 3
Skin Prepping Product

7917
Skin Gel Protective Dressing Wipes
12 Cartons of
50 Wipes Each
HCPCS: A5120
Stock No
7917
Adhesives and Removers

7760
Universal Remover Wipes
For Adhesives and Barriers
12 Cartons of
50 Wipes Each
HCPCS: A4456
Stock No
7760
7730
Box of 4
Medical Adhesive
Improves Adhesive Contact Between Skin and Barrier
HCPCS: A4364
Stock No
Description
7730
3.2 oz (90 g) spray can
7731
Medical Adhesive Remover
Box of 4
HCPCS: A4455
68
Stock No
Description
7731
2.7 oz (76 g) spray can
1.888.740.8999
Odor Eliminators
773x
m9 Odor Eliminator Spray
HCPCS: No Code
Stock No (unscented) Description
Quantity
7732
7733
Box of 12
Box of 6
2 oz (60 mL) pump spray


(Green Apple
Stock No Scented) Description
Quantity
7734
7735
Box of 12
Box of 6

771x
m9 Odor Eliminator Drops
HCPCS: A4394
Stock No
Description
Quantity
7715
7717
1 oz (30 mL) bottle

Box of 12
Box of 6
Cleaner/Decrystallizer
7736
m9 Cleaner/Decrystallizer
Cleans Urinary Drainage Systems
pH Balanced and Non-Acidic
Free Wash Bottle Included
Box of 12
HCPCS: A5131
Stock No
Description
7736
Drainable Pouch Clamp

8770
Drainable Pouch Clamp
Box of 20
HCPCS: A4363
Stock No
Color
8770
Beige
Urostomy Drain Tube Adapter

7331
Urostomy Drain Tube Adapter
Box of 10
HCPCS: A4421
Stock No
7331
Skin Care Products

517210
Restore Skin Cleanser
Box of 12
HCPCS: A9270
Stock No
Description
517210
www.hollister.com
69
Ostomy Accessories
Skin Care Products (continued)
517220
Restore Skin Conditioning Creme
Box of 12
HCPCS: A6250
Stock No
Description
517220
Irrigation Products
7721
Cone Irrigator Kit Includes:
(1) Irrigator
(1) Stoma Cone with Connector
(1) Cleaning Brush
Box 1
HCPCS: A4398 + A4399

Stock No
7721
7723
Stoma Cone with Connector
Replacement Unit
Box of 10
HCPCS: A4399
Stock No
7723
7740
Adapt Stoma Lubricant
For Stoma Irrigation
Box of 10
HCPCS: A4402
Stock No
Description
7740
7728/7724
Irrigator Sleeve with Belt Tabs
Includes Clamp
Box of 20
HCPCS: A4397
Stock No
Opening Size
7728
7724
2" (51 mm)

3" (76 mm)
Length
22" (56 cm)
22" (56 cm)
Loop Ostomy Bridge

7767
Loop Ostomy Bridge Sterile
Box of 20
HCPCS: A4421
Stock No
7767
70
1.888.740.8999
Replacement Filters
7766
Box of 5 Packs
Hollister Replacement Filters
For use with 366x, 383x and 389x
1 pack contains 20 Filters and 2 Plugs
HCPCS: A4368
Stock No
7766
Bedside Drainage Collection System with Anti-Reflux Valve

9839
Sample Port
Sterile Fluid Pathway
Box of 20
HCPCS: A4357
Stock No
Description
9839
68 oz (2000 mL) Capacity
Skin Barrier Pastes and Powders

7910
Karaya 5 Paste
Box of 12
HCPCS: A4405
Stock No
Description
7910
4.5 oz (135 mL) tube
7905
Karaya 5 Powder
Box of 12
HCPCS: A4371
Stock No
Description
7905
2.5 oz (75 mL) puff bottle
Skin Barriers
7800
Premium (standard wear) Skin Barrier
Box of 5
HCPCS: A4362
Stock No
Size
7800
4 x 4" (10 cm x 10 cm)
7700
HolliHesive (standard wear) Skin Barrier
Box of 5
HCPCS: A4362
Stock No
Size
7700
4 x 4" (10 cm x 10 cm)
www.hollister.com
71
CenterPointLock Two-Piece Pouching System

Letter Matching System
To help you select compatible CenterPointLock Two-Piece System
components, every CenterPointLock System product box label features
a letter designation: H, I, J, K, or L. Once youve selected a
CenterPointLock Two-Piece System Skin Barrier, select a pouch, irrigator
drain, or stoma cap with a matching letter on the box label.
Flat Skin Barriers with Floating Flanges
872x (CUT-TO-FIT)
Box of 5
Flextend (extended wear) Skin Barrier, Flat, Tape Border
HCPCS: A4409
Stock No
8727
8722
8723
8724
Letter Match
Flange Size
H
I
J
K
1-1/2" (38 mm)

1-3/4" (44 mm)
2-1/4" (57 mm)
2-3/4" (70 mm)
Barrier Opening
up to 1" (25 mm)
up to 1-1/4" (32 mm)
up to 1-3/4" (44 mm)
up to 2-1/4" (57 mm)
875x (CUT-TO-FIT)
Flextend (extended wear) Skin Barrier, Flat,
Without Tape Border
Box of 5
HCPCS FOR 8752, 8753 & 8757: A4409

HCPCS FOR 8754: A4410
Stock No
8752
8753
8754
Letter Match
Flange Size
I
J
K
1-3/4" (44 mm)

2-1/4" (57 mm)
2-3/4" (70 mm)
Barrier Opening
up to 1-1/4" (32 mm)
up to 1-3/4" (44 mm)
up to 2-1/4" (57 mm)
372x (CUT-TO-FIT)
Box of 5
FlexWear (standard wear) Skin Barrier, Flat, Tape Border
HCPCS FOR 3722-3724 & 3727: A4414

Stock No
3727
3722
3723
3724
3726
Letter Match
H
I
J
K
L
Flange Size
1-1/2" (38 mm)
1-3/4" (44 mm)
2-1/4" (57 mm)
2-3/4" (70 mm)
4" (102 mm)
Barrier Opening
up to 1" (25 mm)
up to 1-1/4" (32 mm)
up to 1-3/4" (44 mm)
up to 2-1/4" (57 mm)
up to 3-1/2" (89 mm)
376x (CUT-TO-FIT)
SoftFlex (standard wear) Skin Barrier, Flat,
Without Tape Border
Box of 5
HCPCS FOR 3762, 3763 & 3767: A4414

HCPCS FOR 3764 & 3766: A4415
Stock No
3767
3762
3763
3764
3766
72
Letter Match
H
I
J
K
L
Flange Size
1-1/2" (38 mm)
1-3/4" (44 mm)
2-1/4" (57 mm)
2-3/4" (70 mm)
4" (102 mm)
Barrier Opening
up to 1" (25 mm)
up to 1-1/4" (32 mm)
up to 1-3/4" (44 mm)
up to 2-1/4" (57 mm)
up to 3-1/2" (89 mm)
1.888.740.8999
Flat Skin Barriers with Floating Flanges (continued)

370x (CUT-TO-FIT)
Box of 5
HolliHesive (standard wear) Skin Barrier, Flat, Tape Border
HCPCS FOR 3702-3704 & 3707: A4414

Stock No
3707
3702
3703
3704
3706
Letter Match
H
I
J
K
L
Flange Size
1-1/2" (38 mm)
1-3/4" (44 mm)
2-1/4" (57 mm)
2-3/4" (70 mm)
4" (102 mm)
Barrier Opening
up to 3/4" (19 mm)
up to 1" (25 mm)
up to 1-1/2" (38 mm)
up to 2" (51 mm)
up to 3-1/4" (82 mm)
874x (PRE-SIZED)
Box of 5
Flextend (extended wear) Skin Barrier, Flat, Tape Border
HCPCS: A4409
Stock No
8743
8744
8745
8746
8747
8748
Letter Match
Flange Size
Barrier Opening
H
H
I
I
J
J
1-1/2" (38 mm)

1-1/2" (38 mm)
1-3/4" (44 mm)
1-3/4" (44 mm)
2-1/4" (57 mm)
2-1/4" (57 mm)
7/8" (22 mm)

1" (25 mm)
1-1/8" (29 mm)
1-1/4" (32 mm)
1-3/8" (35 mm)
1-1/2" (38 mm)
374x (PRE-SIZED)
Box of 5
FlexWear (standard wear) Skin Barrier, Flat, Tape Border
HCPCS: A4414
Stock No
3747
3742
3748
3743
3749
Letter Match
Flange Size
Barrier Opening
H
H
I
J
J
1-1/2" (38 mm)

1-1/2" (38 mm)
1-3/4" (44 mm)
2-1/4" (57 mm)
2-1/4" (57 mm)
3/4" (19 mm)

1" (25 mm)
1-1/4" (32 mm)
1-1/2" (38 mm)
1-3/4" (44 mm)
Convex Skin Barriers with Floating Flanges

877x (CUT-TO-FIT)
Box of 5
Flextend (extended wear) Skin Barrier, Convex, Tape Border
HCPCS: A4407
Stock No
8774
8778
87711
Letter Match
Flange Size
I
J
K
1-3/4" (44 mm)

2-1/4" (57 mm)
2-3/4" (70 mm)
Barrier Opening
up to 1" (25 mm)
up to 1-1/2" (38 mm)
up to 2" (51 mm)
873x (PRE-SIZED)
Box of 5
Flextend (extended wear) Skin Barrier, Convex, Tape Border
HCPCS: A4407
Stock No
8731
8732
8733
8734
8735
8736
8737
8738
Letter Match
Flange Size
Barrier Opening
H
H
I
I
J
J
J
J
1-1/2" (38 mm)

1-1/2" (38 mm)
1-3/4" (44 mm)
1-3/4" (44 mm)
2-1/4" (57 mm)
2-1/4" (57 mm)
2-1/4" (57 mm)
2-1/4" (57 mm)
5/8" (16 mm)

3/4" (19 mm)
7/8" (22 mm)
1" (25 mm)
1-1/8" (29 mm)
1-1/4" (32 mm)
1-3/8" (35 mm)
1-1/2" (38 mm)
convex product
www.hollister.com
73

Convex Skin Barriers with Floating Flanges (continued)
373x (PRE-SIZED)
Box of 5
FlexWear (standard wear) Skin Barrier, Convex, Tape Border
HCPCS: A4373
Stock No
3730
3731
3732
3733
3734
3735
3736
3737
3738
3739
37310
37311
Letter Match
Flange Size
Barrier Opening
H
H
H
I
I
J
J
J
J
K
K
K
1-1/2" (38 mm)

1-1/2" (38 mm)
1-1/2" (38 mm)
1-3/4" (44 mm)
1-3/4" (44 mm)
2-1/4" (57 mm)
2-1/4" (57 mm)
2-1/4" (57 mm)
2-1/4" (57 mm)
2-3/4" (70 mm)
2-3/4" (70 mm)
2-3/4" (70 mm)
1/2" (13 mm)

5/8" (16 mm)
3/4" (19 mm)
7/8" (22 mm)
1" (25 mm)
1-1/8" (29 mm)
1-1/4" (32 mm)
1-3/8" (35 mm)
1-1/2" (38 mm)
1-5/8" (41 mm)
1-3/4" (44 mm)
2" (51 mm)
Drainable Pouches
389x/383x
Box of 10
Drainable Pouch, Replaceable Filter,
Clamp Closure, Odor-Barrier Rustle-Free Film, Belt Tabs,
Without ComfortWear Panels. Includes 1 Bag of 20 Hollister
Replacement Filters and 2 Plugs, #7766
HCPCS: A4425 + A4368

Transparent
Stock No
3897
3892
3893
3894
Beige
Stock No
Letter
Match
Flange
Size
3837
3832
3833
3834
H
I
J
K
1-1/2" (38 mm)

1-3/4" (44 mm)
2-1/4" (57 mm)
2-3/4" (70 mm)
Pouch
Length
12" (30 cm)
12" (30 cm)
12" (30 cm)
12" (30 cm)
881x
Box of 10
Drainable Pouch, Without Integrated Filter,
Clamp Closure, Odor-Barrier Rustle-Free Film,
Belt Tabs, ComfortWear Panels Both Sides
HCPCS: A5063
Beige
Stock No
Letter
Match
Flange
Size
H
I
J
K
1-1/2" (38 mm)

1-3/4" (44 mm)
2-1/4" (57 mm)
2-3/4" (70 mm)
8817
8812
8813
8814
Pouch
Length
12" (30 cm)
12" (30 cm)
12" (30 cm)
12" (30 cm)
380x/381x
Box of 10
Drainable Pouch, Without Integrated Filter,
Clamp Closure, Odor-Barrier Rustle-Free Film,
Belt Tabs, Without ComfortWear Panels
HCPCS: A5063
Transparent
Stock No
3807
3802
3803
3804
3806
Beige
Stock No
Letter
Match
Flange
Size
3817
3812
3813
3814

H
I
J
K
L
1-1/2" (38 mm)

1-3/4" (44 mm)
2-1/4" (57 mm)
2-3/4" (70 mm)
4" (102 mm)
Pouch
Length
11" (28 cm)
11" (28 cm)
11" (28 cm)
11" (28 cm)
11" (28 cm)
convex product
74
1.888.740.8999

387x
Box of 10
High Output Drainable Pouch, Without Integrated Filter,
Clamp Closure, Odor-Barrier Film, Belt Tabs
HCPCS: A4412
Transparent
Stock No
Letter
Match
Flange
Size
I
J
K
1-3/4" (44 mm)

2-1/4" (57 mm)
2-3/4" (70 mm)
3872
3873
3874
Pouch
Length
16" (40 cm)
16" (40 cm)
16" (40 cm)
384x
Box of 10
Drainable Mini-Pouch, Without Integrated
Filter, Clamp Closure, Odor-Barrier Rustle-Free Film,
HCPCS: A5063
Beige
Stock No
Letter
Match
Flange
Size
H
I
J
K
1-1/2" (38 mm)

1-3/4" (44 mm)
2-1/4" (57 mm)
2-3/4" (70 mm)
3847
3842
3843
3844
Pouch
Length
9" (23 cm)
9" (23 cm)
9" (23 cm)
9" (23 cm)
Closed Pouches
834x
Box of 15
Closed Pouch, Integrated Filter, Odor-Barrier Rustle-Free Film,
Belt Tabs, ComfortWear Panels Both Sides
HCPCS: A4419
Beige
Stock No
Letter
Match
Flange
Size
H
I
J
K
1-1/2" (38 mm)

1-3/4" (44 mm)
2-1/4" (57 mm)
2-3/4" (70 mm)
8347
8342
8343
8344
Pouch
Length
7-1/2" (19 cm)
7-1/2" (19 cm)
7-1/2" (19 cm)
7-1/2" (19 cm)
334x
Box of 15
Closed Pouch, Integrated Filter, Odor-Barrier
Rustle-Free Film, Belt Tabs, Without ComfortWear Panels
HCPCS: A4419
Beige
Stock No
Letter
Match
Flange
Size
H
I
J
K
1-1/2" (38 mm)

1-3/4" (44 mm)
2-1/4" (57 mm)
2-3/4" (70 mm)
3347
3342
3343
3344
Pouch
Length
9" (23 cm)
9" (23 cm)
9" (23 cm)
9" (23 cm)
Urostomy Pouches
890x
Box of 10
Urostomy Pouch, Odor-Barrier Rustle-Free
Film, Belt Tabs, ComfortWear Panels Both Sides
HCPCS: A4432
Beige
Stock No
8902
8903
Letter
Match
Flange
Size
I
J
1-3/4" (44 mm)

2-1/4" (57 mm)
www.hollister.com
Pouch
Length
9" (23 cm)
9" (23 cm)
75

Urostomy Pouches (continued)
390x
Box of 10
Urostomy Pouch, Odor-Barrier Rustle-Free
Film, Belt Tabs, Without ComfortWear Panels
HCPCS: A4432
Transparent
Stock No
3907
3902
3903
3904
Letter
Match
Flange
Size
H
I
J
K
1-1/2" (38 mm)

1-3/4" (44 mm)
2-1/4" (57 mm)
2-3/4" (70 mm)
Pouch
Length
9" (23 cm)
9" (23 cm)
9" (23 cm)
9" (23 cm)
Stoma Cap
340x
Box of 25
Stoma Cap, Integrated Filter, Odor-Barrier
Rustle-Free Film Without ComfortWear Panels
HCPCS: A5055
Beige
Stock No
3407
3402
3403
3404
Letter
Match
Flange
Size
H
I
J
K
1-1/2" (38 mm)

1-3/4" (44 mm)
2-1/4" (57 mm)
2-3/4" (70 mm)
Pouch
Length
4-1/2" (11 cm)
4-1/2" (11 cm)
4-1/2" (11 cm)
4-1/2" (11 cm)
Irrigator Sleeve
382x
Irrigator Sleeve, Belt Tabs
Includes clamp
Box of 5
HCPCS: A4397
Transparent
Stock No
3827
3822
3823
3824
3826
76
Letter
Match
H
I
J
K
L
Flange
Size
1-1/2" (38 mm)
1-3/4" (44 mm)
2-1/4" (57 mm)
2-3/4" (70 mm)
4" (102 mm)
Pouch
Length
30" (76 cm)
30" (76 cm)
30" (76 cm)
30" (76 cm)
30" (76 cm)
1.888.740.8999
Karaya 5 One-Piece Pouching System

Drainable Pouches
366x (PRE-SIZED)
Box of 10
Drainable Pouch, Karaya 5 (standard wear)
Skin BarrierConvex, Tape Border, Replaceable Filter, Pouch
Clamp Closure, Odor-Barrier Rustle-Free Film, Belt Tabs,
Without ComfortWear Panels. Includes 1 Bag of 20 Hollister
Replacement Filters and 2 Plugs, #7766
HCPCS: A4389 + A4368

Transparent
Stock No
3662
3668
3663
3669
3664
3665
Pouch
Size
1" (25 mm)
1-1/4" (32 mm)
1-1/2" (38 mm)
1-3/4" (44 mm)
2" (51 mm)
2-1/2" (64 mm)
Barrier
Opening
5/8" (16 mm)
7/8" (22 mm)
1-1/8" (29 mm)
1-3/8" (35 mm)
1-1/2" (38 mm)
2" (51 mm)
Pouch
Length
12" (30 cm)
12" (30 cm)
12" (30 cm)
12" (30 cm)
12" (30 cm)
12" (30 cm)
360x (PRE-SIZED)
Box of 10
Skin BarrierConvex, Tape Border, Without Integrated Filter,
Pouch Clamp Closure, Odor-Barrier Rustle-Free Film, Belt
Tabs, Without ComfortWear Panels
HCPCS: A4389
Transparent
Stock No
3608
3603
3609
3604
3605
3606
Pouch
Size
Barrier
Opening
1-1/4" (32 mm)

1-1/2" (38 mm)
1-3/4" (44 mm)
2" (51 mm)
2-1/2" (64 mm)
3" (76 mm)
7/8" (22 mm)

1-1/8" (29 mm)
1-3/8" (35 mm)
1-1/2" (38 mm)
2" (51 mm)
2-1/2" (64 mm)
Pouch
Length
12" (30 cm)
12" (30 cm)
12" (30 cm)
12" (30 cm)
12" (30 cm)
12" (30 cm)
323x (PRE-SIZED)
Box of 30
Drainable Mini-Pouch, Karaya 5 (standard wear)
Pouch Clamp Closure, Odor-Barrier Film, Belt Tabs, Without
ComfortWear Panels
HCPCS: A4389
Transparent
Stock No
3232
3238
3233
3239
3234
Pouch
Size
Barrier
Opening
1" (25 mm)

1-1/4" (32 mm)
1-1/2" (38 mm)
1-3/4" (44 mm)
2" (51 mm)
5/8" (16 mm)

7/8" (22 mm)
1-1/8" (29 mm)
1-3/8" (35 mm)
1-1/2" (38 mm)
Pouch
Length
9" (23 cm)
9" (23 cm)
9" (23 cm)
9" (23 cm)
9" (23 cm)
322x (PRE-SIZED)
Box of 30
ComfortWear Panels
HCPCS: A4389
Transparent
Stock No
3222
3228
3223
3229
3224
3225
3226
Pouch
Size
Barrier
Opening
1" (25 mm)

1-1/4" (32 mm)
1-1/2" (38 mm)
1-3/4" (44 mm)
2" (51 mm)
2-1/2" (64 mm)
3" (76 mm)
5/8" (16 mm)

7/8" (22 mm)
1-1/8" (29 mm)
1-3/8" (35 mm)
1-1/2" (38 mm)
2" (51 mm)
2-1/2" (64 mm)
Pouch
Length
12" (30 cm)
12" (30 cm)
12" (30 cm)
12" (30 cm)
12" (30 cm)
12" (30 cm)
12" (30 cm)
convex product
www.hollister.com
77
Karaya 5 One-Piece Pouching System

327x (PRE-SIZED)
Box of 30
ComfortWear Panels
HCPCS: A4389
Transparent
Stock No
3278
3273
3279
3274
3275
3276
Pouch
Size
Barrier
Opening
1-1/4" (32 mm)

1-1/2" (38 mm)
1-3/4" (44 mm)
2" (51 mm)
2-1/2" (64 mm)
3" (76 mm)
7/8" (22 mm)

1-1/8" (29 mm)
1-3/8" (35 mm)
1-1/2" (38 mm)
2" (51 mm)
2-1/2" (64 mm)
Pouch
Length
16" (40 cm)
16" (40 cm)
16" (40 cm)
16" (40 cm)
16" (40 cm)
16" (40 cm)
Closed Pouches
332x (PRE-SIZED)
Box of 30
Closed Pouch, Karaya 5 (standard wear)
Skin BarrierConvex, Tape Border, Integrated Filter,
Odor-Barrier Film, Belt Tabs, Without ComfortWear Panels
HCPCS: A4417
Transparent
Stock No
3328
3323
3329
3324
3325
3326
Pouch
Size
Barrier
Opening
1-1/4" (32 mm)

1-1/2" (38 mm)
1-3/4" (44 mm)
2" (51 mm)
2-1/2" (64 mm)
3" (76 mm)
7/8" (22 mm)

1-1/8" (29 mm)
1-3/8" (35 mm)
1-1/2" (38 mm)
2" (51 mm)
2-1/2" (64 mm)
Pouch
Length
9" (23 cm)
9" (23 cm)
9" (23 cm)
9" (23 cm)
9" (23 cm)
9" (23 cm)
716x (PRE-SIZED)
Box of 30
Closed Pouch, Karaya 5 (standard wear)
Skin BarrierConvex, Without Tape Border, Without
Integrated Filter, Odor-Barrier Film, Belt Tabs, Without
ComfortWear Panels
HCPCS: A4387
Transparent
Stock No
7168
7163
7169
7164
7165
7166
Pouch
Size
Barrier
Opening
1-1/4" (32 mm)

1-1/2" (38 mm)
1-3/4" (44 mm)
2" (51 mm)
2-1/2" (64 mm)
3" (76 mm)
7/8" (22 mm)

1-1/8" (29 mm)
1-3/8" (35 mm)
1-1/2" (38 mm)
2" (51 mm)
2-1/2" (64 mm)
Pouch
Length
9" (23 cm)
9" (23 cm)
9" (23 cm)
9" (23 cm)
9" (23 cm)
9" (23 cm)
Urostomy Pouches
143x (PRE-SIZED)
Box of 10
Urostomy Pouch, Karaya 5 (standard wear)
Skin BarrierConvex, Tape Border, Odor-Barrier Film,
HCPCS: A4429
Transparent
Stock No
1432
1438
1433
1439
1434
Pouch
Size
1"(25 mm)
1-1/4"(32 mm)
1-1/2"(38 mm)
1-3/4"(44 mm)
2"(51 mm)
Barrier
Opening
5/8"(16 mm)
7/8"(22 mm)
1-1/8"(29 mm)
1-3/8"(35 mm)
1-1/2"(38 mm)
Pouch
Length
9" (23 cm)
9" (23 cm)
9" (23 cm)
9" (23 cm)
9" (23 cm)
convex product
78
1.888.740.8999
Other One-Piece Pouching System

Closed Pouches
314x (PRE-SIZED)
Box of 30
Closed Mini-Pouch, Tape Adhesive, Integrated Filter,
Odor-Barrier Film, Without ComfortWear Panels

Transparent
Stock No
3142
3148
3143
3149
3144
HCPCS: A4418
Barrier Opening
Pouch Length
1" (25 mm)

1-1/4" (32 mm)
1-1/2" (38 mm)
1-3/4" (44 mm)
2" (51 mm)
7" (18 cm)

7" (18 cm)
7" (18 cm)
7" (18 cm)
7" (18 cm)
Stoma Cap
318x (PRE-SIZED)
Box of 30
Stoma Cap, Tape Adhesive, Integrated Filter,
Odor-Barrier Film, Without ComfortWear Panels
HCPCS: A5055
Beige
Stock No
3184
3186
Opening
2" (51 mm)
3" (76 mm)
www.hollister.com
Size
4-1/4" (11 cm)
4-1/4" (11 cm)
79
Glossary Ostomy Care

AF300 Filter: AF stands for Air Flow and 300 represents the 300 mm2
air flow surface area on every AF300 Filter
Closed Pouch: A pouch without a spout or a clamp. Quick and easy
to discard. It must be removed to be emptied
Colostomy: An ostomy (surgical opening) created in the colon, part
of the large intestine
ComfortWear Pouch Panels: Lining over the plastic of the pouch to
enhance comfort and discretion. The soft pouch panels may be on one
or both sides of the pouch
Convex Skin Barrier: May be used when the stoma does not protrude
from the abdomen. The skin barrier is shaped to press more deeply
around the stoma
Cut-to-Fit Skin Barrier: A skin barrier that can be cut to the right size
and shape for the stoma by using a scissors
Drainable Pouch: A pouch with an opening at the bottom. An integrated
closure or clamp is used to keep the pouch closed until its time to empty it
Extended Wear Skin Barrier: Skin barriers with special additives that
achieve a stronger adhesive seal and are more resistant to breakdown.
Skin barrier of choice for urostomies and ileostomies. Flextend and
FormaFlex are examples. It is not recommended to use skin-prepping
agents under extended wear skin barriers
Filter: Lets gas but not odor out of pouch. The key performance factors
of any filter are air flow, deodorization, and liquid protection
Flange: The plastic ring in a two-piece ostomy system that is used
to connect the two parts together
Flat Skin Barrier: May be used when the stoma does protrude from
the abdomen
Flextend Skin Barrier: Flextend is an extended wear skin barrier that is
durable and offers high resistance to erosion. It swells when it comes in
contact with liquid to help form a seal between the skin and the stoma.
It offers strong adhesion and flexibility
FlexWear Skin Barrier: FlexWear is a standard wear skin barrier that
provides moderate adhesion, and offers a good balance of durability and
gentleness. It is designed to be worn more than one day and tends to
hold its shape in the presence of fluids
Floating Flange: Allows for fingers to be put under the flange for
support while attaching the pouch to the barrier on a two-piece pouching
system. The New Image system has an integrated floating flange
FormaFlex Skin Barrier: An extended wear skin barrier which is
resistant to discharge. It has the ability to be stretched to fit the size and
shape of the stoma without the use of a scissors. Found as an option in
the New Image two-piece system
Ileostomy: An ostomy (surgical opening) created in the small intestine
80
1.888.740.8999
Irrigation: A procedure used to control the time of elimination from

colostomy. It is not for everyone and requires special equipment
and teaching
Karaya 5 Skin Barrier: Karaya is a natural skin barrier that is well-suited
for thin, fragile, and sensitive skin or in some cases where irritant
dermatitis has occurred. It is mildly adhesive and needs a belt or tape
to secure the pouching system
Lock n Roll Microseal Closure: An integrated system for closing the
bottom of drainable pouches. This system utilizes plastic interlocking
microseals to create a secure closure. Found on New Image, Premier,
and Pouchkins drainable pouches
Odor-Barrier Pouch: Odor-Barrier Pouch is highly resistant in allowing
odors to pass through the pouch film. The Odor-Barrier quality increases
confidence when wearing a pouch
Pre-Sized Skin Barrier: A skin barrier that is already cut to the
proper size if stoma is round
QuietWear Pouch Material: A Hollister Technology that is comprised
of a pouch film and ComfortWear panel that are laminated together.
This special design results in the reduction of the pouch rustling noise
Rustle-Free Pouch: Rustle-Free Pouch provides for ultimate discretion
since the pouch does not make noise during normal wear
Shape-To-Fit: A skin barrier that can be stretched to the shape and
size of the stoma. This skin barrier does not require use of a scissors.
A possible choice when the stoma is not round or still changing sizes
Skin Barrier: Portion of the pouching system that protects the skin from
contact with the discharge. It also provides an adhesive attachment for
the pouching system to the body. Examples include Flextend, FlexWear,
SoftFlex, and FormaFlex
SoftFlex Skin Barrier: SoftFlex is a standard wear skin barrier, which
has an adhesive that is gentle to the skin, and allows for frequent pouch
changes. It offers lower erosion resistance, and is thin and flexible
without compromising security
Standard Wear Skin Barrier: Provides a gentle adhesive attachment
to the skin. These skin barriers absorb less and disintegrate faster than
extended wear skin barriers. Examples include FlexWear and SoftFlex
Stoma: The place where the drainage comes out of the body when you
have an ostomy. The stoma is red and moist and doesnt have feeling
Urostomy: An ostomy (surgical opening) created to drain urine
Urostomy Pouch: Pouch with a drain tap at the bottom so urine
can be emptied quickly and easily
Wear Time: Wear time is the length of time a product can be worn
before failure. Wear time varies widely based upon a variety of factors
www.hollister.com
81
Educational
Resources
Educational
Resources
Secure Start services are here for your

patients every step of the way offering:
r
Dedicated Support
Education & Resources
Insurance Matching
Ostomy Products
To learn more call 1.888.808.7456, or visit

www.hollister.com/us/ostomy/ss
Educational Resources Ostomy

All of the Hollister educational materials listed below
are available on our website: www.hollister.com
Educational DVDs
Ostomy Educational Theatre
Literature No
921901
Online Education Program
available at www.hollister.com
Living with a Stoma
Secure Start Video Diaries
Case Studies (also available online)

For a complete description and current listing, visit the Nursing Education section
found in the Healthcare Professional portion of our website, www.hollister.com.
Accessories
Literature No
Adapt Lubricating Deodorant: A Novel Pouch Additive
907247a
Adapt Lubricating Deodorant: Assessment of Performance
907247b
Laboratory Measurements & User Appreciation of Adapt
907623
Barrier Rings
Never Say No to Change: Making a Product Conversion
908802
A Ring is Not Just a Ring: Creative Uses of Ostomy Accessories 910704
Using the Adapt Barrier Ring for Stomal Bridges/Rods
910701
(online only)
Using Adapt Barrier Rings for Mucocutaneous Separation
910702
(online only)
C3Life.com
Literature No
Online Solutions: Closing the Gap in the Continuum of Care
910676
(online only)
Convexity
Literature No
A Case for Soft Convexity (online only)
907022
Making Sense of Convexity (online only)
907502
Case Studies in Convexity (online only)
907526
Principles and Techniques in the Use of Convexity
907634
Cost Impact of Convexity on Ostomy Management (online only) 907655
Using Convexity in the Management of
910314
Complex Clinical Challenges
Nursing Issues
Literature No
Study of Factors Affecting Pre-and Postoperative
907649
Health Self-Assessments in Ostomates (online only)
Study of the Effect of WOC Nurse Care on Ostomate
907650
Adaptation and Perception of Life with Stoma (online only)
Clinical Challenges Require Creative Solutions
911098
Evaluation of an Existing Ostomy Product Formulary:
921708
A Pilot Study
Ostomy Filters
Advanced Materials and Design for Improved Filter
Performance (online only)
146
Literature No
910293
1.888.740.8999
Pediatrics
Product Adaptations in Pediatric Ostomy Care
Literature No
908803
Psychosocial Adaptation
Literature No
Overcoming Life Discontinuity Following Ileostomy Surgery
908804
(online only)
Associations between Financial Responsibility for Ostomy
910291
Pouching Systems, Pouching System Change Habits and
Peristomal Skin Condition (online only)
Post-Surgery Return to Sexual Activity (online only)
910296
Post-Surgery Social Isolation (online only)
910298
Ostomate Recollections of What They Really Needed to
910301
Know After Surgery (online only)
Body Image Perception and Peristomal Skin Condition as
910741
Quality of Life Issues (online only)
Quality of Life and Influencing Factors in Ostomates Less
910777
Than 24 Months Post-Surgery (online only)
Social Isolation: The Association Between Low Life
910778
Satisfaction and Social Connectivity (online only)
An Association Between Continuing Treatment and
910779
Adaptation in Ostomates (online only)
An Association Between Peristomal Skin Condition
910780
and Life Satisfaction in New Ostomates (online only)
Secure Start Services
Literature No
Partnering to Improve Ostomy Patient Outcomes (online only) 908801
Excellence in Care: Partnerships for Better Outcomes
910327
Providing Ostomy Care Across the Continuum
910672
The Secure Start Program: Making a Difference in the
911138
Continuum of Care
The Continuum of Care: Demonstrating Positive
911095
Outcomes through the Hollister Secure Start Program
Skin Barriers
Literature No
Formulating Hydrocolloid Skin Barriers for
907661
pH Control (online only)
Preliminary Studies on the Skin Biophysics and Ostomy Skin
910286
Barriers. Part 2 Feasibility of Measuring Peel Force and Skin
Properties Comparing Peristomal to Normal Surround Skin
(online only)
Preliminary Studies on the Skin Biophysics and Ostomy Skin
910288
Barriers. Part 1 Relationship between Peel Force, Quantitative
Measures of Skin Damage and Subjective Discomfort using the
Abdomen as the Test Site (online only)
Studies on Skin Biophysics and Ostomy Skin Barriers:
910776
Comparison of Peel Force Measurements and Skin Structure
Between Peristomal and Normal Surrounding Skin (online only)
The Shape of Things to Come: An Alternative to
921705
Cut-to-Fit Barriers
Peristomal Skin and Tape: Stick to the Facts
921714
Stoma Sizing Guide
www.hollister.com
903515
147

Instructional Materials
Literature No
Understanding Your Colostomy Booklet
907411
Understanding Your Ileostomy Booklet
907412
Understanding Your Urostomy Booklet
907413
Understanding Your Colostomy/Ileostomy/
909961
Urostomy Booklet (English) (online only)
910130
Urostomy Booklet (Spanish) (online only)
910813
Urostomy Booklet (Russian) (online only)
NEW! Understanding Your Colostomy/Ileostomy/
921793

Urostomy Booklet (Vietnamese) (online only)
Whats Right? Colostomy (English) (online only)
907590
Whats Right? Colostomy (Spanish) (online only)
907242
Whats Right? Ileostomy (English) (online only)
907602
Whats Right? Ileostomy (Spanish) (online only)
907243
Whats Right? Urostomy (English) (online only)
907603
Whats Right? Urostomy (Spanish) (online only)
907244
Can They Still Wiggle and Giggle? Coloring Book
907617
The Day I Got My Stoma (online only)
910497
Caring for Your Child With an Ostomy Pediatric (English)
907778
Caring for Your Child With an Ostomy Pediatric (Spanish)
907809
Caring for Your Child With an Ostomy Pediatric
907809
(French Canadian) (online only)
Caring for your Loved One with an Ostomy
911085
Ostomy Care Tips (Pads of 25)
Adapt Barrier Rings
NEW! Adapt Oval Convex Barrier Rings and

Adapt Convex Barrier Rings
Adapt Lubricating Deodorant
Adapt Ostomy Belt
Adapt Paste
Adapt Stoma Powder
Colostomy Irrigation
Using Convexity
Fistula Management
Ileostomy Dietary Guidelines
Lock n Roll Microseal Closure (English)
Lock n Roll Microseal Closure (Spanish)
Medicare Reimbursement Guide
One-Piece Pouching System
One-Piece Pouching System (Spanish)
Oval Cut-to-Fit Skin Barriers (online only)
Patient Anatomy Guide
Peristomal Skin Care/Complications
148
Literature No
910395
910801
907428
911082
907249
907255
907254
907608
910398
910974
911126
911209
911046
910401
911172
910707
910396
907253
1.888.740.8999
Ostomy Care Tips (Pads of 25) (continued)

Literature No
Pouchkins One-Piece Pouching System
907874
Pouchkins Premie & Newborn Pouching System
907876
Pouchkins Two-Piece Pouching System
907875
Routine Care of Your Ostomy
910399
Routine Care of Your Ostomy (Spanish)
910800
Skin Barriers
906756
Skin Gel Wipes
907250
Stoma Complications
907252
Stoma Site Selection
910134
Two-Piece Pouching System
910402
Two-Piece Pouching System (Spanish)
911173
Two-Piece Pouching System with FormaFlex Skin Barrier
911296
Types of Ostomies
905756
Universal Catheter Access Port (UCAP)
921709
Lifestyle Booklets
Skin Care for your Stoma: 3 Easy Steps to Maintaining
Healthy Skin
Good Eating Habits and Good Health with an Ostomy
Sports and Fitness with an Ostomy
Travel with an Ostomy
Love and Sex for People with an Ostomy
Maintaining Personal and Professional Relationships
with an Ostomy
Pregnancy and Childbirth with an Ostomy
Secure Start Newsletter
Secure Start Preoperative Kit
Secure Start Kit
Literature No
907530
907531
907532
907533
907534
907535
907536
subscribe on www.hollister.com
ask your Sales Specialist
ask your Sales Specialist
Shadow Buddies
Light Skin Tone Girl
Light Skin Tone Boy
Medium Skin Tone Girl
Medium Skin Tone Boy
Dark Skin Tone Girl
Dark Skin Tone Boy
Item No
905439
905440
905441
905442
905443
905444
Additional Resources
Choosing your Ostomy Products
Stoma Model (White Plastic)
Item No
921853
858674
Consumer Support Groups

American Cancer Society (ACS)
www.cancer.org
Brenda Elsaghers Website:
www.livingandlaughing.com
www.hollister.com
149

Consumer Support Groups (continued)
United Ostomy Associations of America, Inc. (UOAA)
www.uoaa.org
1.800.826.0826
Crohns and Colitis Foundation of America (CCFA)
www.ccfa.org
1.800.932.2423
C3Life
www.C3Life.com
Get Your Guts In Gear
www.ibdride.org
1.866.9iGOTGUTS (944.6848)
Shadow Buddies
www.shadowbuddies.org
1.913.642.4646
Youth Rally Committee
www.rally4youth.org
Professional Organizations:
Wound, Ostomy and Continence Nurses Society (WOCN)
www.wocn.org
1.888.224.9626
150
1.888.740.8999
Index Stock Number

Stock No
Page(s)
10xx. . . . . . . . . . . . . 92
1410x. . . . . . . . . . . . 27
1420x. . . . . . . . . . . . 25
143x. . . . . . . . . . . . . 78
1430x. . . . . . . . . . . . 26
1440x. . . . . . . . . . . . 28
1450x. . . . . . . . . . . . 29
1460x. . . . . . . . . . . . 25
1470x. . . . . . . . . . . . 26
1480x. . . . . . . . . . . . 28
149xx. . . . . . . . . . . . 29
1520x. . . . . . . . . . . . 25
1540x. . . . . . . . . . . . 28
1550x. . . . . . . . . . . . 29
1560x. . . . . . . . . . . . 25
1580x. . . . . . . . . . . . 28
1590x. . . . . . . . . . . . 29
1610x. . . . . . . . . . . . 26
1640x. . . . . . . . . . . . 26
1796 . . . . . . . . . . . . 51
1800x. . . . . . . . . . . . 30
1801x. . . . . . . . . . . . 32
1810x. . . . . . . . . . . . 31
1811x. . . . . . . . . . . . 30
1812x. . . . . . . . . . . . 31
1813x. . . . . . . . . . . . 30
1814x. . . . . . . . . . . . 31
1815x. . . . . . . . . . . . 33
1816x. . . . . . . . . . . . 31
1817x. . . . . . . . . . . . 31
1818x. . . . . . . . . . . . 30
1819x. . . . . . . . . . . . 30
1820x. . . . . . . . . . . . 31
1828x. . . . . . . . . . . . 30
18282 . . . . . . . . . . . 60
1829x. . . . . . . . . . . . 30
18292 . . . . . . . . . . . 60
1832x. . . . . . . . . . . . 32
1833x. . . . . . . . . . . . 33
1835x. . . . . . . . . . . . 33
1836x. . . . . . . . . . . . 32
1837x. . . . . . . . . . . . 32
1838x. . . . . . . . . . . . 32
18382 . . . . . . . . . . . 61
1839x. . . . . . . . . . . . 32
18392 . . . . . . . . . . . 61
1840x. . . . . . . . . . . . 33
18402 . . . . . . . . . . . 61
1841x. . . . . . . . . . . . 33
18412 . . . . . . . . . . . 61
1842x. . . . . . . . . . . . 33
1873x. . . . . . . . . . . . 33
1875x. . . . . . . . . . . . 33
1900x. . . . . . . . . . . . 34
1905x. . . . . . . . . . . . 35
1910x. . . . . . . . . . . . 34
162
Stock No
Page(s)
1915x. . . . . . . . . . . . 35
1920x. . . . . . . . . . . . 34
1925x. . . . . . . . . . . . 35
31003 . . . . . . . . . . 109
31005 . . . . . . . . . . 109
31008 . . . . . . . . . . 109
31009 . . . . . . . . . . 109
314x. . . . . . . . . . . . . 79
318x. . . . . . . . . . . . . 79
32004 . . . . . . . . . . 108
32005 . . . . . . . . . . 108
32006 . . . . . . . . . . 108
32007 . . . . . . . . . . 108
322x. . . . . . . . . . . . . 77
323x. . . . . . . . . . . . . 77
327x. . . . . . . . . . . . . 78
33004 . . . . . . . . . . 108
332x. . . . . . . . . . . . . 78
334x. . . . . . . . . . . . . 75
340x. . . . . . . . . . . . . 76
360x. . . . . . . . . . . . . 77
366x. . . . . . . . . . . . . 77
370x. . . . . . . . . . . . . 73
372x. . . . . . . . . . . . . 72
373x. . . . . . . . . . . . . 74
374x. . . . . . . . . . . . . 73
376x. . . . . . . . . . . . . 72
3761 . . . . . . . . . . . . 60
3774 . . . . . . . . . . . . 61
3777 . . . . . . . . . . . . 59
3778 . . . . . . . . . . . . 59
3795 . . . . . . . . . . . . 59
3796 . . . . . . . . . . . . 59
3797 . . . . . . . . . . . . 60
3799 . . . . . . . . . . . . 60
380x. . . . . . . . . . . . . 74
381x. . . . . . . . . . . . . 74
382x. . . . . . . . . . . . . 76
383x. . . . . . . . . . . . . 74
384x. . . . . . . . . . . . . 75
387x. . . . . . . . . . . . . 75
389x. . . . . . . . . . . . . 74
390x. . . . . . . . . . . . . 76
506487 . . . . . . . . . 130
506488 . . . . . . . . . 130
506489 . . . . . . . . . 130
509338 . . . . . . . . . 130
509339 . . . . . . . . . 130
509341 . . . . . . . . . 130
509342 . . . . . . . . . 130
509343 . . . . . . . . . 131
509344 . . . . . . . . . 131
509345 . . . . . . . . . 131
509346 . . . . . . . . . 131
509347 . . . . . . . . . 131
509348 . . . . . . . . . 131
Stock No
Page(s)
509349 . . . . . . . . . 131
509372 . . . . . . . . . 132
509373 . . . . . . . . . 132
509374 . . . . . . . . . 132
509375 . . . . . . . . . 131
509376 . . . . . . . . . 131
509377 . . . . . . . . . 131
509378 . . . . . . . . . 130
509379 . . . . . . . . . 130
509380 . . . . . . . . . 133
509381 . . . . . . . . . 133
509382 . . . . . . . . . 133
509384 . . . . . . . . . 133
509387 . . . . . . . . . 133
509388 . . . . . . . . . 133
509389 . . . . . . . . . 133
509390 . . . . . . . . . 133
509393 . . . . . . . . . 133
509394 . . . . . . . . . 133
509395 . . . . . . . . . 133
509396 . . . . . . . . . 133
517210 . . . . . . 69, 138
517220 . . . . . . 70, 138
519904 . . . . . . . . . 136
519906 . . . . . . . . . 136
519921 . . . . . . . . . 136
519923 . . . . . . . . . 136
519925 . . . . . . . . . 136
519930 . . . . . . . . . 136
519932 . . . . . . . . . 136
519935 . . . . . . . . . 136
519953 . . . . . . . . . 136
519954 . . . . . . . . . 136
519955 . . . . . . . . . 136
519956 . . . . . . . . . 136
519957 . . . . . . . . . 136
519958 . . . . . . . . . 136
519959 . . . . . . . . . 136
519963 . . . . . . . . . 136
519965 . . . . . . . . . 136
529300 . . . . . . . . . 134
529301 . . . . . . . . . 134
529302 . . . . . . . . . 134
529303 . . . . . . . . . 134
529304 . . . . . . . . . 134
529305 . . . . . . . . . 134
529306 . . . . . . . . . 134
529937 . . . . . . . . . 135
529938 . . . . . . . . . 135
529939 . . . . . . . . . 135
529940 . . . . . . . . . 135
529967 . . . . . . . . . 135
529968 . . . . . . . . . 135
529969 . . . . . . . . . 135
529972 . . . . . . . . . 135
529973 . . . . . . . . . 135
1.888.740.8999
Stock No
Page(s)
529974 . . . . . . . . . 135
529975 . . . . . . . . . 137
529976 . . . . . . . . . 137
529977 . . . . . . . . . 138
529978 . . . . . . . . . 138
529979 . . . . . . . . . 138
716x. . . . . . . . . . . . . 78
7299 . . . . . . . . . . . . 68
7300 . . . . . . . . . . . . 68
7331 . . . . . . . . . . . . 69
7700 . . . . . . . . . . . . 71
771x. . . . . . . . . . . . . 69
7721 . . . . . . . . . . . . 70
7723 . . . . . . . . . . . . 70
7724 . . . . . . . . . . . . 70
7728 . . . . . . . . . . . . 70
773x. . . . . . . . . . . . . 69
7730 . . . . . . . . . . . . 68
7731 . . . . . . . . . . . . 68
7736 . . . . . . . . . . . . 69
7740 . . . . . . . . . . . . 70
7760 . . . . . . . . . . . . 68
7766 . . . . . . . . . . . . 71
7767 . . . . . . . . . . . . 70
780x. . . . . . . . . . . . . 67
7800 . . . . . . . . . . . . 71
78500 . . . . . . . . . . . 67
78501 . . . . . . . . . . . 67
7905 . . . . . . . . . . . . 71
7906 . . . . . . . . . . . . 67
7910 . . . . . . . . . . . . 71
7917 . . . . . . . . . . . . 68
79300 . . . . . . . . . . . 67
79301 . . . . . . . . . . . 67
79400 . . . . . . . . . . . 67
795xx. . . . . . . . . . . . 67
796xx. . . . . . . . . . . . 67
80xx. . . . . . . . . . . . . 45
8031 . . . . . . . . . . . . 42
8081 . . . . . . . . . . . . 42
81xx. . . . . . . . . . . . . 45
8131 . . . . . . . . . . . . 42
8181 . . . . . . . . . . . . 42
80110 . . . . . . . . . . . 48
80070 . . . . . . . . . . . 48
81070 . . . . . . . . . . . 48
81110 . . . . . . . . . . . 48
821xx. . . . . . . . . . . . 51
82100 . . . . . . . . . . . 50
823xx. . . . . . . . . . . . 50
82300 . . . . . . . . . . . 50
82302 . . . . . . . . . . . 50
82400 . . . . . . . . . . . 50
82402 . . . . . . . . . . . 50
82500 . . . . . . . . . . . 50
8331 . . . . . . . . . . . . 41
www.hollister.com
Stock No
Page(s)
834x. . . . . . . . . . . . . 75
843x. . . . . . . . . . . . . 52
844x. . . . . . . . . . . . . 51
8440 . . . . . . . . . . . . 51
8450 . . . . . . . . . . . . 51
8460 . . . . . . . . . . . . 51
846x. . . . . . . . . . . . . 51
847x. . . . . . . . . . . . . 52
848x. . . . . . . . . . . . . 52
849x. . . . . . . . . . . . . 52
850x. . . . . . . . . . . . . 46
851x. . . . . . . . . . . . . 47
852x. . . . . . . . . . . . . 46
853x. . . . . . . . . . . . . 44
8531 . . . . . . . . . . . . 41
855x. . . . . . . . . . . . . 44
8551 . . . . . . . . . . . . 41
858x. . . . . . . . . . . . . 46
859x. . . . . . . . . . . . . 47
861x. . . . . . . . . . . . . 47
862x. . . . . . . . . . . . . 47
8631 . . . . . . . . . . . . 41
863x. . . . . . . . . . . . . 44
8641 . . . . . . . . . . . . 41
864x. . . . . . . . . . . . . 45
8651 . . . . . . . . . . . . 41
872x. . . . . . . . . . . . . 72
873x. . . . . . . . . . . . . 73
874x. . . . . . . . . . . . . 73
875x. . . . . . . . . . . . . 72
877x. . . . . . . . . . . . . 73
8770 . . . . . . . . . . . . 69
8800 . . . . . . . . . . . . 68
8801 . . . . . . . . . . . . 68
881x. . . . . . . . . . . . . 74
883xx. . . . . . . . . . . . 45
88300 . . . . . . . . . . . 42
88302 . . . . . . . . . . . 43
884xx. . . . . . . . . . . . 45
88400 . . . . . . . . . . . 42
88401 . . . . . . . . . . . 43
88402 . . . . . . . . . . . 43
88501 . . . . . . . . . . . 44
887xx. . . . . . . . . . . . 46
88700 . . . . . . . . . . . 43
88800 . . . . . . . . . . . 43
890x. . . . . . . . . . . . . 75
89001 . . . . . . . . . . . 52
89002 . . . . . . . . . . . 53
89003 . . . . . . . . . . . 53
89004 . . . . . . . . . . . 53
89005 . . . . . . . . . . . 53
910x. . . . . . . . . . . . . 95
920x. . . . . . . . . . . . . 95
931xx. . . . . . . . . . . . 94
9342 . . . . . . . . . . . . 97
Stock No
Page(s)
9343 . . . . . . . . . . . . 97
9345 . . . . . . . . . . . . 97
9346 . . . . . . . . . . . . 97
9348 . . . . . . . . . . . . 96
9349 . . . . . . . . . . . . 96
940xx. . . . . . . . . . . . 94
941xx. . . . . . . . . . . . 94
951xx. . . . . . . . . . . . 94
960xx. . . . . . . . . . . . 94
961xx. . . . . . . . . . . . 94
9645 . . . . . . . . . . . . 96
9655 . . . . . . . . . . . . 96
970x. . . . . . . . . . . . . 49
971xx. . . . . . . . . . . . 94
974xx. . . . . . . . . . . . 95
975xx. . . . . . . . . . . . 95
976xx. . . . . . . . . . . . 95
977x. . . . . . . . . . . . . 49
977xx. . . . . . . . . . . . 95
9779 . . . . . . . . . . . . 49
978xx. . . . . . . . . . . . 95
9780 . . . . . . . . . . . 116
9781 . . . . . . . . . . . 115
9782 . . . . . . . . . . . 115
9785 . . . . . . . . . . . 116
9786 . . . . . . . . . . . 116
9788 . . . . . . . . . . . 115
979xx. . . . . . . . . . . . 95
9799 . . . . . . . . . . . 115
9805 . . . . . . . . . . . . 96
9811 . . . . . . . . . . . . 98
9814 . . . . . . . . . . . . 96
9821 . . . . . . . . . . . 110
9822 . . . . . . . . . . . 110
9823 . . . . . . . . . . . 110
9839 . . . . . . . . . 71, 98
9840 . . . . . . . . . . . . 98
9873 . . . . . . . . . . . . 98
9880 . . . . . . . . . . . 110
Bxxx. . . . . . . . . . . . . 93
BxxxB. . . . . . . . . . . . 93
HB2214 . . . . . . . . . 129
HB4414 . . . . . . . . . 129
HB6614 . . . . . . . . . 129
HBT0906 . . . . . . . . 129
HBHD4450. . . . . . . 129
HBHD6675. . . . . . . 129
HBRF4414 . . . . . . . 129
HBRF2258 . . . . . . . 129
HBRF4475 . . . . . . . 129
HBRF2650 . . . . . . . 129
163
Index Product Name

Name
Page(s)
ActiFlo Accessories............................................................................................109
ActiFlo Catheter Kits with Disposable Odor-Barrier Collection Bags.......................108
ActiFlo Catheter Kits with Drainable Odor-Barrier Collection Bag..........................108
Adapt Odor Eliminator and Lubricant.....................................................................67
Adapt Ostomy Belts..............................................................................................68
Adapt Skin Barrier Accessories.............................................................................67
Adapt Skin Barrier Paste.......................................................................................67
Adapt Stoma Powder............................................................................................67
Adhesives and Removers......................................................................................68
Advance Plus Touch Free Intermittent Catheter.....................................................94
Advance Plus Touch Free Intermittent Catheter System.........................................94
Anchor Fast Oral Endotracheal Tube Fastener.....................................................115
Apogee Plus System.............................................................................................93
Apogee Plus System Kit........................................................................................93
Apogee Intermittent Catheter................................................................................92
Bedside Drainage Collection System with Anti-Reflux Valve............................ 71, 98
CenterPointLock Closed Pouches.........................................................................75
CenterPointLock Drainable Pouches............................................................... 7475
CenterPointLock Flat Skin Barriers with Floating Flanges................................ 7273
CenterPointLock Stoma Cap.................................................................................76
CenterPointLock Urostomy Pouches............................................................... 7576
Convex Skin Barriers with Floating Flanges..................................................... 7374
Drainable Pouch Clamp.......................................................................................69

Drain Tube Attachment Device............................................................................116
Everyday Male External Catheter..........................................................................95
Extended Wear Male External Catheter..................................................................95
Fabric Leg Bag Straps.........................................................................................97
Fecal Collectors..................................................................................................110
Feeding Tube Attachment Device........................................................................116
Female Urinary Pouch External Collection Device...................................................98
Hollister Universal Catheter Access Port...............................................................49
Horizontal Tube Attachment Device.....................................................................115
Hydrofera Blue Foam Dressings..........................................................................129
InstaFlo Catheter Kit...........................................................................................108

InView Male External Catheters.............................................................................95
Irrigation Products................................................................................................70
Irrigator Sleeve.....................................................................................................76
Karaya 5 Closed Pouches....................................................................................78
Karaya 5 Drainable Pouches.......................................................................... 7778
Karaya 5 Urostomy Pouches.................................................................................78
Latex-Free Extension Tubing................................................................................97
Loop Ostomy Bridge.............................................................................................70
m9 Cleaner/Decrystallizer....................................................................................69
m9 Odor Eliminators.............................................................................................68
Male Urinary Pouch External Collection Device......................................................98
164
1.888.740.8999
Name
Page(s)
New Image Closed Pouches.......................................................................... 3233

New Image Convex Skin Barriers with Integrated Floating Flanges.................. 2829
New Image Drainable Pouches...................................................................... 3031
New Image Flat Skin Barriers with Integrated Floating Flanges........................ 2527
New Image High Output Drainable Pouches..........................................................32
New Image Irrigator Sleeve...................................................................................33
New Image Non Sterile Kits Drainable..............................................................34
New Image Non Sterile Kits Urostomy..............................................................34
New Image Sterile Kits Drainable.....................................................................35
New Image Sterile Kits Urostomy.....................................................................35
New Image Urostomy Pouches.............................................................................33
Other Closed Pouches.........................................................................................79
Other Stoma Cap..................................................................................................79
Pouchkins Newborn Pouch..................................................................................59
Pouchkins One-Piece Pouches...................................................................... 5960
Pouchkins Pediatric Ostomy Belt...........................................................................61
Pouchkins Premie Pouch......................................................................................59
Pouchkins Two-Piece Pouches...................................................................... 6061
Pouchkins Two-Piece Skin Barrier.........................................................................60
Premier Closed Pouches................................................................................ 5051
Premier Drainable Pouches with Convex Barriers............................................ 4647
Premier Drainable Pouches with Flat Barriers................................................. 4146
Premier High Output Drainable Pouches................................................................48
Premier Non Sterile Kits Drainable............................................................ 5253
Premier Non Sterile Kits Urostomy...................................................................53
Premier Stoma Cap..............................................................................................51
Premier Urostomy Pouches with Convex Barriers...................................................52
Premier Urostomy Pouches with Flat Barriers........................................................51
Premier Wound Drainage Collectors......................................................................49
Replacement Filters.............................................................................................71
Restore Adhesive Foam Dressing with TRIACT Technology..................................131
Restore Calcium Alginate Dressing Silver............................................................135
Restore Calcium Alginate Dressing......................................................................135
Restore Cleanser & Moisturizer...........................................................................138
Restore Contact Layer Dressing with Silver and TRIACT Technology.....................130
Restore Contact Layer Dressing with TRIACT Technology.....................................130
Restore Contact Layer FLEX Dressing with TRIACT Technology............................130
Restore DimethiCreme Skin Protectant................................................................138
Restore DUO Absorbent Dressing with TRIACT Technology..................................131
Restore Extra Thin Hydrocolloid Dressing.............................................................136
Restore Foam Border Dressing Featuring TRIACT ADVANCED Technology............133
Restore Foam Dressing without Border...............................................................133
Featuring TRIACT ADVANCED Technology
Restore Heel Dressing without Border...............................................................133
Restore Hydrocolloid Dressing.............................................................................136
Restore Hydrocolloid Dressing with Foam Backing...............................................136
Restore Hydrogel Dressing..................................................................................135
www.hollister.com
165
Index Product Name

Name
Page(s)
Restore Hydro-Shield Foam Dressing..................................................................134

Restore Hydro-Shield Foam Dressing without Border...........................................134
Restore LITE Foam Dressing without Border........................................................133
Featuring TRIACT ADVANCED Technology
Restore Non-Adhesive Foam Dressing with Silver and.........................................131
TRIACT Technology
Restore Non-Adhesive Foam Dressing with TRIACT Technology...........................131
Restore Odor-Absorbent Dressing.......................................................................136
Restore Skin Care Products..................................................................................69
Restore Skin Cleanser................................................................................. 69, 138
Restore Skin Conditioning Creme........................................................................138
Restore TRIO Absorbent Dressing, Adhesive, with TRIACT Technology.................132
Restore Wound Cleanser....................................................................................137
Skin Barriers (Other)..................................................................................... 68, 71

Skin Barrier Pastes and Powders (Other)...............................................................71
Skin Prepping Product..........................................................................................68
Suction Tube Attachment Device........................................................................116
Urinary Leg Bag...................................................................................................96
Urinary Leg Bag Combination Pack.......................................................................96
Urostomy Drain Tube Adapter...............................................................................69
Vented Urinary Leg Bag Combination Pack...........................................................96

Vertical Tube Attachment Device.........................................................................115
166
1.888.740.8999
HCPCS Cod
Index HCPCS Codes

HCPCS
Page(s)
A4326 . . . . . . . . . . . . . . . . . . . . . . 98
A4328 . . . . . . . . . . . . . . . . . . . . . . 98
A4330 . . . . . . . . . . . . . . . . . . . . . 110
A4331 . . . . . . . . . . . . . . . . . . . . . . 97
A4349 . . . . . . . . . . . . . . . . . . . . . . 95
A4351 . . . . . . . . . . . . . . . . . . . . . . 92
A4352 . . . . . . . . . . . . . . . . . . . . . . 92
A4353 . . . . . . . . . . . . . . . . . . . 93, 94
A4357 . . . . . . . . . . . . . . . . . . . 71, 98
A4358 . . . . . . . . . . . . . . . . . . . . . . 96
A4362 . . . . . . . . . . . . . . . . . . . 59, 71
A4363 . . . . . . . . . . . . . . . . . . . . . . 69
A4364 . . . . . . . . . . . . . . . . . . . . . . 68
A4367 . . . . . . . . . . . . . . . . . . . 61, 68
A4368 . . . . . . . . . . . . . . . . 71, 74, 77
A4371 . . . . . . . . . . . . . . . . . . . 67, 71
A4373 . . . . . . . . . . . . . . . . 28, 29, 74
A4385 . . . . . . . . . . . . . . . . . . . 67, 68
A4387 . . . . . . . . . . . . . . . . . . . . . . 78
A4388 . . . . . . . . . . . . . 41, 44, 45, 53
A4389 . . . . . . . . . . . . . . . . . . . 77, 78
A4390 . . . . . . . . . . . . . . . . . . . 46, 47
A4394 . . . . . . . . . . . . . . . . . . . 67, 69
A4397 . . . . . . . . . . . . . . . . 33, 70, 76
A4398 . . . . . . . . . . . . . . . . . . . . . . 70
A4399 . . . . . . . . . . . . . . . . . . . . . . 70
A4402 . . . . . . . . . . . . . . . . . . . . . . 70
A4405 . . . . . . . . . . . . . . . . . . . . . . 71
A4406 . . . . . . . . . . . . . . . . . . . . . . 67
A4407 . . . . . . . . . . . . . . . . 28, 29, 73
A4408 . . . . . . . . . . . . . . . . . . . . . . 28
A4409 . . . . 25, 26, 27, 34, 35, 72, 73
A4410 . . . . . . . . . . . . . . . . . . . 25, 72
A4411 . . . . . . . . . . . . . . . . . . . . . . 67
A4412 . . . . . . . . . . . . . . . . . . . 32, 75
A4414 . . . . 25, 26, 34, 35, 60, 72, 73
A4415 . . . . . . . . . . 25, 34, 35, 72, 73
A4416 . . . . . . . . . . . . . . . . . . . 50, 51
A4417 . . . . . . . . . . . . . . . . . . . . . . 78
A4418 . . . . . . . . . . . . . . . . . . . . . . 79
A4419 . . . . . . . . . . . . . . . . 32, 61, 75
A4421 . . . . . . . . . . . . . . . . . . . 69, 70
A4424 . . . . . . . . . . 42, 43, 45, 46, 59
A4425 . . . . . . . . . . . . . 30, 31, 60, 74
A4428 . . . . . . . . . . . . . . . . . . . 51, 53
A4429 . . . . . . . . . . . . . . . . . . . . . . 78
A4430 . . . . . . . . . . . . . . . . . . . . . . 52
A4432 . . . . . . . 33, 34, 35, 61, 75, 76
A4455 . . . . . . . . . . . . . . . . . . . . . . 68
A4456 . . . . . . . . . . . . . . . . . . . . . . 68
A5052 . . . . . . . . . . . . . . . . . . . . . . 59
A5054 . . . . . . . . . . . . . . . . . . . . . . 33
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HCPCS
Page(s)
A5055 . . . . . . . . . . . . . . . . 51, 76, 79

A5056 . . . . . . . . . . . . . . . . . . . . . . 41
A5057 . . . . . . . . . . . . . . . . . . . . . . 46
A5061 . . . . . . . 42, 43, 44, 52, 53, 59
A5062 . . . . . . . . . . . . . . . . . . . . . . 59
A5063 . . . . 30, 31, 34, 35, 60, 74, 75
A5071 . . . . . . . . . . . . . . . . . . . . . . 60
A5114 . . . . . . . . . . . . . . . . . . . . . . 97
A5120 . . . . . . . . . . . . . . . . . . . . . . 68
A5122 . . . . . . . . . . . . . . . . . . . . . . 68
A5131 . . . . . . . . . . . . . . . . . . . . . . 69
A5200 . . . . . . . . . . . . . . . . . 115, 116
A6154 . . . . . . . . . . . . . . . . . . . 48, 49
A6196 . . . . . . . . . . . . . . . . . . . . . 135
A6197 . . . . . . . . . . . . . . . . . . . . . 135
A6199 . . . . . . . . . . . . . . . . . . . . . 135
A6206 . . . . . . . . . . . . . . . . . . . . . 130
A6207 . . . . . . . . . . . . . . . . . . . . . 130
A6208 . . . . . . . . . . . . . . . . . . . . . 130
A6209 . . . . . 129, 131, 133, 134, 136
A6210 . . . . . . . . . 129, 131, 133, 134
A6211 . . . . . . . . . . . . . . . . . 134, 136
A6212 . . . . . . . . . 129, 131, 133, 134
A6213 . . . . . . . . . . . . . 131, 133, 134
A6215 . . . . . . . . . . . . . . . . . . . . . 129
A6231 . . . . . . . . . . . . . . . . . . . . . 135
A6234 . . . . . . . . . . . . . . . . . 131, 136
A6235 . . . . . . . . . . . . . . . . . 131, 136
A6236 . . . . . . . . . . . . . . . . . . . . . 136
A6237 . . . . . . . . . . . . . . . . . . . . . 132
A6238 . . . . . . . . . . . . . . . . . . . . . 132
A6248 . . . . . . . . . . . . . . . . . . . . . 135
A6250 . . . . . . . . . . . . . . . . . . 70, 138
A6260 . . . . . . . . . . . . . . . . . . . . . 137
A6266 . . . . . . . . . . . . . . . . . . . . . 135
A9270 . . . . . . . . . . . . . . . 69, 96, 138
A9900 . . . . . . . . . . . . . . . . . . . . . 115
A9999 . . . . . . . . . . . . . . . . . 115, 116
B9998 . . . . . . . . . . . . . . . . . . . . . 116
167
Hollister and logo, Hollister, ActiFlo, Adapt, Advance Plus, AF300, Anchor Fast, Apogee, Apogee Plus,
CenterPointLock, ComfortWear, Extended Wear, Everyday, Flextend, FlexWear, FormaFlex, HolliHesive,
InstaFlo, InView, Karaya 5, Lock n Roll, m9, New Image, Pouchkins, Premier, Premium, QuietWear,
and SoftFlex are trademarks of Hollister Incorporated.
C3Life, Secure Start, and Hollister Ostomy. Details Matter. are service marks of Hollister Incorporated.
Hollisterwoundcare and wave logo are trademarks of Hollister Incorporated. Restore, Hydro-Shield
and graphic, Restore DUO, Restore TRIO, TRIACT, TRIACT ADVANCED and graphic are trademarks
of Hollister Wound Care LLC.
ConnectEd is a service mark of Hollister Wound Care LLC.
Hydrofera Blue is a trademark of Hydrofera, LLC.
Shadow Buddies is a trademark of Shadow Buddies.
Teflon is a trademark of E.I. du Pont de Nemours and Company.
Coloplast and SenSura are trademarks of Coloplast A/S.
ConvaTec and SUR-FIT Natura are trademarks of ConvaTec, LLC.
Zassi is a trademark of Zassi Medical Evolutions, Inc.
2012 Hollister Incorporated. Printed in USA.
Hollister Consumer Programs

For consumer and healthcare professional

product questions and sampling needs:
1.888.740.8999
For dealers, distributors, institutions,

and pharmacy questions or orders:
1.800.323.4060
fax 1.847.680.1017
For helping new patients adjust to life

with an ostomy or bladder management:
1.888.808.7456
For additional information on

Hollister Wound Care:
www.hollisterwoundcare.com
For helping patients and families

dealing with Epidermolysis Bullosa (EB)
contact our EB Resources Hotline:
1.888.EB AID4U
(1.888.322.4348)
2000 Hollister Drive
Libertyville, Illinois 60048 USA
www.hollister.com

2012 Hollister Incorporated. Printed in USA.
921867-112

Ostomry Product Hollister

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Ostomry Product Hollister

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Ostomy Care

Explanation of Third Party Code Reimbursement System

Current Stock Numbers:

Discontinued Stock Numbers:

How to Use The Hollister Products Catalog

Product Discontinued as of July 2007

Table of Contents Ostomy Care

Quick Reference for Product Selection..........................................1116

Learn more on page 145

Pouchkins Pediatric Pouching System...............................................59

Quick Reference for Product Selection

New Image Flat Barriers

1-3/4" (44 mm)

up to 1-3/4" (44 mm)

up to 2-1/4" (57 mm)

up to 1-1/4" (32 mm)

up to 1-3/4" (44 mm)

up to 1-3/4" (44 mm)

up to 2-1/4" (57 mm)

up to 1-1/4" (32 mm)

up to 1-3/4" (44 mm)

1-3/8" (35 mm) 1-1/2" (38 mm)

up to 1-1/4" (32 mm)

up to 3-1/2" (89 mm)

up to 2-1/4" (57 mm)

1-3/8" (35 mm) 1-1/2" (38 mm) 1-3/4" (44 mm)

up to 3-1/2" (89 mm)

1-3/8" (35 mm) 1-1/2" (38 mm)

up to 1-1/4" (32 mm)

4" (102 mm)

up to 2-1/4" (57 mm)

1-3/8" (35 mm) 1-1/2" (38 mm) 1-3/4" (44 mm)

2-3/4" (70 mm)

up to 1-1/4" (32 mm)

2-1/4" (57 mm)

up to 1-11/16" (43 mm)

up to 2-1/4" (57 mm)

1-3/4" (44 mm)

up to 1" (25 mm)

up to 1" (25 mm)

7/8" (22 mm)

up to 1" (25 mm)

7/8" (22 mm)

up to 1-1/2" (38 mm)

up to 1" (25 mm)

up to 2" (51 mm)

up to 1-1/2" (38 mm)

2-3/4" (70 mm)

2-1/4" (57 mm)

1" (25 mm)

1" (25 mm)

up to 2" (51 mm)

up to 1-1/2" (38 mm)

up to 1-1/2" (38 mm)

1-1/8" (29 mm)

1-1/8" (29 mm)

1-1/4" (32 mm)

1-1/4" (32 mm)

up to 2" (51 mm)

up to 2" (51 mm)

Quick Reference for Product Selection

New Image Drainable Pouches

2-1/4" (57 mm)

A4331 Extension drainage tubing, any type, any length, with

A4372 Ostomy skin barrier, solid 4 x 4 or equivalent, standard wear

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

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