Showing codes A6221 (Gauze, non-impregnated, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing) — A6255 (Specialty absorptive 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)

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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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).
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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).
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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).
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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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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).
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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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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).
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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).
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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).
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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).
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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).
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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).
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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).
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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).
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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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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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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).
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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).
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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).
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A6244 - Hydrogel drg >48 in w/o bdr
Long description: Hydrogel 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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A6245 - Hydrogel drg <= 16 in w/bdr
Long description: Hydrogel 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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A6246 - Hydrogel drg >16<=48 in w/b
Long description: Hydrogel 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).
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A6247 - Hydrogel drg > 48 sq in w/b
Long description: Hydrogel 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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A6248 - Hydrogel drsg gel filler
Long description: Hydrogel dressing, wound filler, gel, per fluid ounce
Code added date: 19970101.
Code effective date: 20110101.
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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A6250 - Skin seal protect moisturizr
Long description: Skin sealants, protectants, moisturizers, ointments, any type, any size
Code added date: 19970101.
Code effective date: 20240401.
Pricing Indicator Code(s): 00 ; (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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A6251 - Absorpt drg <=16 sq in w/o b
Long description: Specialty absorptive 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).
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A6252 - Absorpt drg >16 <=48 w/o bdr
Long description: Specialty absorptive 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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A6253 - Absorpt drg > 48 sq in w/o b
Long description: Specialty absorptive 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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A6254 - Absorpt drg <=16 sq in w/bdr
Long description: Specialty absorptive 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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A6255 - Absorpt drg >16<=48 in w/bdr
Long description: Specialty absorptive 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).
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