HCPCS Code Section: HCPCS A Codes

Compression burn garment, bodysuit (head to foot), custom fabricated Short Description: Compres burngarment bodysuit Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …

Synthetic resorbable wound dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing Short Description: Synthetic …

Synthetic resorbable wound dressing, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing Short Description: Synthetic drsg

Tubular dressing with or without elastic, any width, per linear yard Short Description: Tubular dressing Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January …

Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard Short Description: Zinc paste band w >=3″

Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard Short Description: Self-adher band >=5″/yd Coverage Code: Carrier judgment Action Code: No maintenance for this …

Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard Short Description: Self-adher band w>=3″

Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard Short Description: Self-adher band w

High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less …

Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five …