A6025 – Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each

Long description

Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each

Short description

Silicone gel sheet, each

Pricing indicator

00 Not separately priced by Part B (bundled, not covered or Part A only)

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

D1A Medical/surgical supplies

Added

January 1, 1997

Last change

January 1, 2007 – No change

Nearby A codes

• A5514 – For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each
• A6000 – Non-contact wound warming wound cover for use with the non-contact wound warming device and warming card
• 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 48 sq. in., each
• A6023 – Collagen dressing, sterile, size more than 48 sq. in., each
• A6024 – Collagen dressing wound filler, sterile, per 6 inches
• A6154 – Wound pouch, each
• A6196 – Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing
• A6197 – Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing
• A6198 – Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq. in., each dressing
• 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 border, each dressing
• A6204 – Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
• A6205 – Composite dressing, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing