Showing codes A6210 (Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing) — A6243 (Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing)
A6210 - Foam drg >16<=48 sq in w/o b
Long description: Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
Code added date: 19970101.
Code effective date: 20090101.
Pricing Indicator Code(s):
35
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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A6211 - Foam drg > 48 sq in w/o brdr
Long description: Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
Code added date: 19970101.
Code effective date: 20090101.
Pricing Indicator Code(s):
35
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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PDF
A6212 - Foam drg <=16 sq in w/border
Long description: Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
Code added date: 19970101.
Code effective date: 20090101.
Pricing Indicator Code(s):
35
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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PDF
A6213 - Foam drg >16<=48 sq in w/bdr
Long description: Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
Code added date: 19970101.
Code effective date: 20090101.
Pricing Indicator Code(s):
46
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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PDF
A6214 - Foam drg > 48 sq in w/border
Long description: Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
Code added date: 19970101.
Code effective date: 20090101.
Pricing Indicator Code(s):
35
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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PDF
A6215 - Foam dressing wound filler
Long description: Foam dressing, wound filler, sterile, per gram
Code added date: 19970101.
Code effective date: 20090101.
Pricing Indicator Code(s):
46
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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PDF
A6216 - Non-sterile gauze<=16 sq in
Long description: Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
Code added date: 19970101.
Code effective date: 20030101.
Pricing Indicator Code(s):
35
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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PDF
A6217 - Non-sterile gauze>16<=48 sq
Long description: Gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
Code added date: 19970101.
Code effective date: 20030101.
Pricing Indicator Code(s):
35
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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PDF
A6218 - Non-sterile gauze > 48 sq in
Long description: Gauze, non-impregnated, non-sterile, pad size more than 48 sq. in., without adhesive border, each dressing
Code added date: 19970101.
Code effective date: 20030101.
Pricing Indicator Code(s):
46
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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PDF
A6219 - Gauze <= 16 sq in w/border
Long description: Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
Code added date: 19970101.
Code effective date: 20090101.
Pricing Indicator Code(s):
35
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML
PDF
A6220 - Gauze >16 <=48 sq in w/bordr
Long description: 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
Code added date: 19970101.
Code effective date: 20090101.
Pricing Indicator Code(s):
35
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML
PDF
A6221 - Gauze > 48 sq in w/border
Long description: Gauze, non-impregnated, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
Code added date: 19970101.
Code effective date: 20090101.
Pricing Indicator Code(s):
46
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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PDF
A6222 - Gauze <=16 in no w/sal w/o b
Long description: Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
Code added date: 19970101.
Code effective date: 20090101.
Pricing Indicator Code(s):
35
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML
PDF
A6223 - Gauze >16<=48 no w/sal w/o b
Long description: Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing
Code added date: 19970101.
Code effective date: 20090101.
Pricing Indicator Code(s):
35
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML
PDF
A6224 - Gauze > 48 in no w/sal w/o b
Long description: Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
Code added date: 19970101.
Code effective date: 20090101.
Pricing Indicator Code(s):
35
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML
PDF
A6228 - Gauze <= 16 sq in water/sal
Long description: Gauze, impregnated, water or normal saline, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
Code added date: 19970101.
Code effective date: 20090101.
Pricing Indicator Code(s):
46
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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PDF
A6229 - Gauze >16<=48 sq in watr/sal
Long description: Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
Code added date: 19970101.
Code effective date: 20090101.
Pricing Indicator Code(s):
35
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML
PDF
A6230 - Gauze > 48 sq in water/salne
Long description: Gauze, impregnated, water or normal saline, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
Code added date: 19970101.
Code effective date: 20090101.
Pricing Indicator Code(s):
46
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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PDF
A6231 - Hydrogel dsg<=16 sq in
Long description: Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing
Code added date: 20010101.
Code effective date: 20090101.
Pricing Indicator Code(s):
35
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML
PDF
A6232 - Hydrogel dsg>16<=48 sq in
Long description: Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing
Code added date: 20010101.
Code effective date: 20090101.
Pricing Indicator Code(s):
35
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML
PDF
A6233 - Hydrogel dressing >48 sq in
Long description: Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing
Code added date: 20010101.
Code effective date: 20090101.
Pricing Indicator Code(s):
35
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML
PDF
A6234 - Hydrocolld drg <=16 w/o bdr
Long description: Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
Code added date: 19970101.
Code effective date: 20090101.
Pricing Indicator Code(s):
35
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML
PDF
A6235 - Hydrocolld drg >16<=48 w/o b
Long description: Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
Code added date: 19970101.
Code effective date: 20090101.
Pricing Indicator Code(s):
35
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML
PDF
A6236 - Hydrocolld drg > 48 in w/o b
Long description: Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
Code added date: 19970101.
Code effective date: 20090101.
Pricing Indicator Code(s):
35
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML
PDF
A6237 - Hydrocolld drg <=16 in w/bdr
Long description: Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
Code added date: 19970101.
Code effective date: 20090101.
Pricing Indicator Code(s):
35
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML
PDF
A6238 - Hydrocolld drg >16<=48 w/bdr
Long description: Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
Code added date: 19970101.
Code effective date: 20090101.
Pricing Indicator Code(s):
35
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML
PDF
A6239 - Hydrocolld drg > 48 in w/bdr
Long description: Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
Code added date: 19970101.
Code effective date: 20090101.
Pricing Indicator Code(s):
46
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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PDF
A6240 - Hydrocolld drg filler paste
Long description: Hydrocolloid dressing, wound filler, paste, sterile, per ounce
Code added date: 19970101.
Code effective date: 20090101.
Pricing Indicator Code(s):
35
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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PDF
A6241 - Hydrocolloid drg filler dry
Long description: Hydrocolloid dressing, wound filler, dry form, sterile, per gram
Code added date: 19970101.
Code effective date: 20090101.
Pricing Indicator Code(s):
35
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML
PDF
A6242 - Hydrogel drg <=16 in w/o bdr
Long description: Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
Code added date: 19970101.
Code effective date: 20090101.
Pricing Indicator Code(s):
35
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML
PDF
A6243 - Hydrogel drg >16<=48 w/o bdr
Long description: Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
Code added date: 19970101.
Code effective date: 20090101.
Pricing Indicator Code(s):
35
; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
HTML
PDF