2025 HCPCS Code A6217
Gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
TAGS: equal dressing adhesive| Short Description | Non-sterile gauze>16<=48 sq |
| 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, 2003 |
| 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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