A6402 – Gauze, non-impregnated, 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
HCPCS codeA6402
- Long description
- Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
- Short description
- Sterile gauze <= 16 sq in
- Pricing indicator
35Surgical dressings- Medicare coverage
DSpecial coverage instructions apply- BETOS category
D1AMedical/surgical supplies- Added
- January 1, 1997
- Last change
- January 1, 2006 – No change
Frequently asked questions
What is HCPCS code A6402?
A6402 is a HCPCS Level II code for gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing.
Does Medicare cover A6402?
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
- A6256 – Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
- A6257 – Transparent film, sterile, 16 sq. in. or less, each dressing
- A6258 – Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing
- A6259 – Transparent film, sterile, more than 48 sq. in., each dressing
- A6260 – Wound cleansers, any type, any size
- A6261 – Wound filler, gel/paste, per fluid ounce, not otherwise specified
- A6262 – Wound filler, dry form, per gram, not otherwise specified
- A6266 – Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard
- A6403 – Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing
- A6404 – Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
- A6407 – Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard
- A6410 – Eye pad, sterile, each
- A6411 – Eye pad, non-sterile, each
- A6412 – Eye patch, occlusive, each
- A6413 – Adhesive bandage, first-aid type, any size, each
- A6441 – Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.