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

Long description

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

Short description

Sterile gauze>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, 2003 – No change

Nearby A codes

• 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
• A6402 – Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, 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
• A6442 – Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard