A6217 – Gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing

Long description

Gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing

Short description

Non-sterile gauze>16<=48 sq

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

Nearby A codes

• A6209 – Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
• A6210 – Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
• A6211 – Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
• A6212 – Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
• A6213 – Foam 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
• A6214 – Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
• A6215 – Foam dressing, wound filler, sterile, per gram
• A6216 – Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
• A6218 – Gauze, non-impregnated, non-sterile, pad size more than 48 sq. in., without adhesive border, each dressing
• A6219 – Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
• A6220 – Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
• A6221 – Gauze, non-impregnated, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
• A6222 – Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
• A6223 – Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing
• A6224 – Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
• A6228 – Gauze, impregnated, water or normal saline, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing