A6454 – Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard

Long description

Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard

Short description

Self-adher band w>=3" <5"/yd

Pricing indicator

35 Surgical dressings

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

D1A Medical/surgical supplies

Added

January 1, 2004

Last change

January 1, 2004 – No change

Nearby A codes

• A6446 – Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard
• A6447 – Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard
• A6448 – Light compression bandage, elastic, knitted/woven, width less than three inches, per yard
• A6449 – Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard
• A6450 – Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard
• A6451 – Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard
• A6452 – High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard
• A6453 – Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard
• A6455 – Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard
• A6456 – Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard
• A6457 – Tubular dressing with or without elastic, any width, per linear yard
• A6460 – Synthetic resorbable wound dressing, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
• A6461 – Synthetic resorbable wound dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
• A6501 – Compression burn garment, bodysuit (head to foot), custom fabricated
• A6502 – Compression burn garment, chin strap, custom fabricated
• A6503 – Compression burn garment, facial hood, custom fabricated