Table of content for "Absorpt drg >16<=48 in w/bdr" (HCPCS A6255)
General information on the “A6255” code
HCPCS Code: A6255
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
Short Description: Absorpt drg >16<=48 in w/bdr
Original information is taken from A6255 page
Pricing indicators
Pricing Indicator Code 1: 35 – Surgical dressings (price subject to floors and ceilings). Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: D – Special coverage instructions apply
Type of service
Berenson-Eggers Type of Service (BETOS): D1A – Medical/surgical supplies
Type Of Service 1: S – Surgical dressings or other medical supplies (eff 04/95)
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 19970101
Code Effective Date: 20090101
Action Code: N – No maintenance for this code