2025 HCPCS Code A6403

Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing

TAGS: adhesive dressing equal
Short DescriptionSterile gauze>16 <= 48 sq in
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

Check Similar HCPCS Codes