A6216 – Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing

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

Active code Special coverage instructions apply

HCPCS codeA6216
Long description
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
Short description
Non-sterile gauze<=16 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, 2003 – No change

Frequently asked questions

What is HCPCS code A6216?

A6216 is a HCPCS Level II code for gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing.

Does Medicare cover A6216?

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.