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HCPCS Procedure & Supply Codes

Medical And Surgical Supplies

section notes

Wound Care Management Products

section notes
A2001   Innovamatrix ac, per square centimeter
A2002   Mirragen advanced wound matrix, per square centimeter
A2004   Xcellistem, 1 mg
A2005   Microlyte matrix, per square centimeter
A2006   Novosorb synpath dermal matrix, per square centimeter
A2007   Restrata, per square centimeter
A2008   Theragenesis, per square centimeter
A2009   Symphony, per square centimeter
A2010   Apis, per square centimeter
A2011   Supra sdrm, per square centimeter
A2012   Suprathel, per square centimeter
A2013   Innovamatrix fs, per square centimeter
A2014   Omeza collagen matrix, per 100 mg
A2015   Phoenix wound matrix, per square centimeter
A2016A2018   Permeaderm
A4100   Skin substitute, fda cleared as a device, not otherwise specified
A6000   Non-contact wound warming wound cover for use with the non-contact wound warming...
A6010   Collagen based wound filler, dry form, sterile, per gram of collagen
A6011   Collagen based wound filler, gel/paste, per gram of collagen
A6021   Collagen dressing, sterile, size 16 sq. in. or less, each
A6022   Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to ...
A6023   Collagen dressing, sterile, size more than 48 sq. in., each
A6024   Collagen dressing wound filler, sterile, per 6 inches
A6025   Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other)...
A6154   Wound pouch, each
A6196   Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. ...
A6197   Alginate or other fiber gelling dressing, wound cover, sterile, pad size more th...
A6198   Alginate or other fiber gelling dressing, wound cover, sterile, pad size more th...
A6199   Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches
A6203   Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive...
A6204   Composite dressing, sterile, pad size more than 16 sq. in. but less than or equa...
A6205   Composite dressing, sterile, pad size more than 48 sq. in., with any size adhesi...
A6206   Contact layer, sterile, 16 sq. in. or less, each dressing
A6207   Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in...
A6208   Contact layer, sterile, more than 48 sq. in., each dressing
A6209   Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesi...
A6210   Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than...
A6211   Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhe...
A6212   Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size ...
A6213   Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than...
A6214   Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any siz...
A6215   Foam dressing, wound filler, sterile, per gram
A6216   Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesi...
A6217   Gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but less than...
A6218   Gauze, non-impregnated, non-sterile, pad size more than 48 sq. in., without adhe...
A6219   Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhe...
A6220   Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or ...
A6221   Gauze, non-impregnated, sterile, pad size more than 48 sq. in., with any size ad...
A6222   Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, p...
A6223   Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, p...
A6224   Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, p...
A6228   Gauze, impregnated, water or normal saline, sterile, pad size 16 sq. in. or less...
A6229   Gauze, impregnated, water or normal saline, sterile, pad size more than 16 sq. i...
A6230   Gauze, impregnated, water or normal saline, sterile, pad size more than 48 sq. i...
A6231   Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq....
A6232   Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greate...
A6233   Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more t...
A6234   Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, withou...
A6235   Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but l...
A6236   Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., with...
A6237   Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with a...
A6238   Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but l...
A6239   Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., with...
A6240   Hydrocolloid dressing, wound filler, paste, sterile, per ounce
A6241   Hydrocolloid dressing, wound filler, dry form, sterile, per gram
A6242   Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without ad...
A6243   Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less ...
A6244   Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without ...
A6245   Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any s...
A6246   Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less ...
A6247   Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any...
A6248   Hydrogel dressing, wound filler, gel, per fluid ounce
A6250   Skin sealants, protectants, moisturizers, ointments, any type, any size
A6251   Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less...
A6252   Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. i...
A6253   Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. i...
A6254   Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less...
A6255   Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. i...
A6256   Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. i...
A6257   Transparent film, sterile, 16 sq. in. or less, each dressing
A6258   Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq....
A6259   Transparent film, sterile, more than 48 sq. in., each dressing
A6260   Wound cleansers, any type, any size
A6261   Wound filler, gel/paste, per fluid ounce, not otherwise specified
A6262   Wound filler, dry form, per gram, not otherwise specified
A6266   Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any...
A6402   Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive b...
A6403   Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equa...
A6404   Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adhesive...
A6407   Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard
A6410   Eye pad, sterile, each
A6411   Eye pad, non-sterile, each
A6412   Eye patch, occlusive, each
A6413   Adhesive bandage, first-aid type, any size, each
A6441   Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal...
A6442   Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than thr...
A6443   Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than ...
A6444   Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than ...
A6445   Conforming bandage, non-elastic, knitted/woven, sterile, width less than three i...
A6446   Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or e...
A6447   Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or e...
A6448   Light compression bandage, elastic, knitted/woven, width less than three inches,...
A6449   Light compression bandage, elastic, knitted/woven, width greater than or equal t...
A6450   Light compression bandage, elastic, knitted/woven, width greater than or equal t...
A6451   Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to...
A6452   High compression bandage, elastic, knitted/woven, load resistance greater than o...
A6453   Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inc...
A6454   Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equ...
A6455   Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equ...
A6456   Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than o...
A6457   Tubular dressing with or without elastic, any width, per linear yard
A6460   Synthetic resorbable wound dressing, sterile, pad size 16 sq. in. or less, witho...
A6461   Synthetic resorbable wound dressing, sterile, pad size more than 16 sq. in. but ...
A6501   Compression burn garment, bodysuit (head to foot), custom fabricated
A6502   Compression burn garment, chin strap, custom fabricated
A6503   Compression burn garment, facial hood, custom fabricated
A6504   Compression burn garment, glove to wrist, custom fabricated
A6505   Compression burn garment, glove to elbow, custom fabricated
A6506   Compression burn garment, glove to axilla, custom fabricated
A6507   Compression burn garment, foot to knee length, custom fabricated
A6508   Compression burn garment, foot to thigh length, custom fabricated
A6509   Compression burn garment, upper trunk to waist including arm openings (vest), cu...
A6510   Compression burn garment, trunk, including arms down to leg openings (leotard), ...
A6511   Compression burn garment, lower trunk including leg openings (panty), custom fab...
A6512   Compression burn garment, not otherwise classified
A6513   Compression burn mask, face and/or neck, plastic or equal, custom fabricated
A6530   Gradient compression stocking, below knee, 18-30 mmhg, each
A6531   Gradient compression stocking, below knee, 30-40 mmhg, each
A6532   Gradient compression stocking, below knee, 40-50 mmhg, each
A6533   Gradient compression stocking, thigh length, 18-30 mmhg, each
A6534   Gradient compression stocking, thigh length, 30-40 mmhg, each
A6535   Gradient compression stocking, thigh length, 40-50 mmhg, each
A6536   Gradient compression stocking, full length/chap style, 18-30 mmhg, each
A6537   Gradient compression stocking, full length/chap style, 30-40 mmhg, each
A6538   Gradient compression stocking, full length/chap style, 40-50 mmhg, each
A6539   Gradient compression stocking, waist length, 18-30 mmhg, each
A6540   Gradient compression stocking, waist length, 30-40 mmhg, each
A6541   Gradient compression stocking, waist length, 40-50 mmhg, each
A6544   Gradient compression stocking, garter belt
A6545   Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each
A6549   Gradient compression stocking/sleeve, not otherwise specified
A6550   Wound care set, for negative pressure wound therapy electrical pump, includes al...
A7018   Water, distilled, used with large volume nebulizer, 1000 ml
A7020   Interface for cough stimulating device, includes all components, replacement only
A7025   High frequency chest wall oscillation system vest, replacement for use with pati...
A7026   High frequency chest wall oscillation system hose, replacement for use with pati...
A7027   Combination oral/nasal mask, used with continuous positive airway pressure devic...
A7028   Oral cushion for combination oral/nasal mask, replacement only, each
A7029   Nasal pillows for combination oral/nasal mask, replacement only, pair
A7030   Full face mask used with positive airway pressure device, each
A7031   Face mask interface, replacement for full face mask, each
A7032   Cushion for use on nasal mask interface, replacement only, each
A7033   Pillow for use on nasal cannula type interface, replacement only, pair
A7034   Nasal interface (mask or cannula type) used with positive airway pressure device...
A7035   Headgear used with positive airway pressure device
A7036   Chinstrap used with positive airway pressure device
A7037   Tubing used with positive airway pressure device
A7038   Filter, disposable, used with positive airway pressure device
A7039   Filter, non disposable, used with positive airway pressure device
A7040   One way chest drain valve
A7041   Water seal drainage container and tubing for use with implanted chest tube
A7044   Oral interface used with positive airway pressure device, each
A7045   Exhalation port with or without swivel used with accessories for positive airway...
A7046   Water chamber for humidifier, used with positive airway pressure device, replace...
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