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

HCPCS Level II code · A codes: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental

Active code Special coverage instructions apply

HCPCS codeA6204
Long description
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
Short description
Composite drsg >16<=48 sq in
Pricing indicator
35 Surgical dressings
Medicare coverage
D Special coverage instructions apply
BETOS category
D1A Medical/surgical supplies
Added
January 1, 1997
Last change
January 1, 2009 – No change

Frequently asked questions

What is HCPCS code A6204?

A6204 is a HCPCS Level II code for 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.

Does Medicare cover A6204?

The HCPCS file lists coverage code D: Special coverage instructions apply. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby A codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.