HCPCS Code A6204

Composite dressing, 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 DescriptionComposite drsg >16<=48 sq in
Year2026
Coverage CodeD = Special coverage instructions apply
Action CodeN = No maintenance for this code
Action Effective DateJanuary 01, 2009
Code Added DateJanuary 01, 1997
Pricing Indicator35 = Surgical dressings (price subject to floors and ceilings)
Type of ServiceS = Surgical dressings or other medical supplies (eff 04/95)