Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
Short Description: Absorpt drg >16<=48 in w/bdr Coverage Code: Special coverage instructions apply
Action Code: No maintenance for this code
Date Added: January 1, 1997
Effective Date: January 1, 2009
Termination Date: