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 dsg>16<=48 sq in Coverage Code: Special coverage instructions apply
Action Code: No maintenance for this code
Date Added: January 1, 2001
Effective Date: January 1, 2009
Termination Date: