HCPCS Code Section: HCPCS A Codes

Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard Short Description: Conform band s w

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″

Compression burn garment, trunk, including arms down to leg openings (leotard), custom fabricated Short Description: Compres burn garment leotard Coverage Code: Special coverage instructions apply Action Code: No maintenance …

Gradient compression stocking, waist length, 40-50 mmhg, each Short Description: Gc stocking waistlngth 40-50 Coverage Code: Non-covered by Medicare Action Code: No maintenance for this code Date Added: January …