A6228 – Gauze, impregnated, water or normal saline, 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 codeA6228
Long description
Gauze, impregnated, water or normal saline, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
Short description
Gauze <= 16 sq in water/sal
Pricing indicator
46 Priced by carrier (not otherwise classified / individual determination)
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 A6228?

A6228 is a HCPCS Level II code for gauze, impregnated, water or normal saline, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing.

Does Medicare cover A6228?

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.