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 drsg >16<=48 sq in Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 2019
Effective Date: January 1, 2019
Termination Date: