2025 HCPCS Code A6223
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing
TAGS: dressing adhesive normal equal impregnated| Short Description | Gauze >16<=48 no w/sal w/o b |
| HCPCS Action Code | N - No maintenance for this code |
| HCPCS Coverage Code | D - Special coverage instructions apply |
| HCPCS Code Added Date | January 01, 1997 |
| HCPCS Action Effective Date | January 01, 2009 |
| HCPCS Pricing Indicator Code | 35 - Surgical dressings (price subject to floors and ceilings) |
| HCPCS Type Of Service Code | S - Surgical dressings or other medical supplies (eff 04/95) |
| HCPCS Multiple Pricing Indicator Code | A - Not applicable as HCPCS priced under one methodology |
| HCPCS Anesthesia Base Unit Quantity | 0 |
| HCPCS Coverage Issues Manual Reference Section Number |
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- A6245 - Hydrogel drg <= 16 in w/bdr
- A6246 - Hydrogel drg >16<=48 in w/b
- A6247 - Hydrogel drg > 48 sq in w/b
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- A6251 - Absorpt drg <=16 sq in w/o b
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- A6253 - Absorpt drg > 48 sq in w/o b
- A6254 - Absorpt drg <=16 sq in w/bdr
- A6255 - Absorpt drg >16<=48 in w/bdr