2021/2022 HCPCS Code A6220

Gauze, non-impregnated, 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 Description Gauze >16 <=48 sq in w/bordr
HCPCS Coverage Code D = Special coverage instructions apply
HCPCS Action Code N = No maintenance for this code
HCPCS Action Effective Date January 01, 2009
HCPCS Code Added Date January 01, 1997
HCPCS Pricing Indicator Code 35 = Surgical dressings (price subject to floors and ceilings)
HCPCS Multiple Pricing Indicator Code A = Not applicable as HCPCS priced under one methodology
HCPCS Medicare Carriers Manual Reference Section Number 2079
HCPCS Type Of Service Code S = Surgical dressings or other medical supplies (eff 04/95)
HCPCS Anesthesia Base Unit Quantity 0