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 DescriptionGauze >16 <=48 sq in w/bordr
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)