HCPCS Code Section: HCPCS A Codes

Gauze, non-impregnated, non-sterile, pad size more than 48 sq. in., without adhesive border, each dressing Short Description: Non-sterile gauze > 48 sq in Coverage Code: Special coverage instructions apply …

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 Short Description: Non-sterile gauze>16

Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Short Description: Non-sterile gauze

Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Short Description: Hydrocolld drg

Foam dressing, wound filler, sterile, per gram Short Description: Foam dressing wound filler Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January …

Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing Short Description: Hydrogel dressing >48 sq in Coverage Code: Special coverage instructions …

Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing Short Description: Foam drg > 48 sq in w/border Coverage …

Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing Short Description: Hydrogel …

Foam 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 …

Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing Short Description: Hydrogel dsg