HCPCS Code A6403
Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing
| Short Description | Sterile gauze>16 <= 48 sq in |
|---|---|
| Year | 2026 |
| Coverage Code | D = Special coverage instructions apply |
| Action Code | N = No maintenance for this code |
| Action Effective Date | January 01, 2003 |
| Code Added Date | January 01, 1997 |
| Pricing Indicator | 35 = Surgical dressings (price subject to floors and ceilings) |
| Type of Service | S = Surgical dressings or other medical supplies (eff 04/95) |