HCPCS Code A6454

Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard
Short DescriptionSelf-adher band w>=3" <5"/yd
Year2026
Coverage CodeC = Carrier judgment
Action CodeN = No maintenance for this code
Action Effective DateJanuary 01, 2004
Code Added DateJanuary 01, 2004
Pricing Indicator35 = Surgical dressings (price subject to floors and ceilings)
Type of ServiceS = Surgical dressings or other medical supplies (eff 04/95)