Field Name |
Field Value |
Healthcare Common Procedure Coding System Code |
A6220 |
HCPCS Sequence Number |
0010 |
HCPCS Record Identification Code |
3 - First line of procedure record also contains detail information in positions 92-275 |
HCPCS Long Description |
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 |
HCPCS Short Description |
Gauze >16 <=48 sq in w/bordr |
HCPCS Pricing Indicator Code 1 |
35 - Surgical dressings (price subject to floors and ceilings) |
HCPCS Multiple Pricing Indicator Code |
A - Not applicable as HCPCS priced under one methodology |
HCPCS Medicare Carriers Manual Reference Section Number 1 |
2079 |
HCPCS Coverage Code |
D - Special coverage instructions apply |
HCPCS Berenson-Eggers Type Of Service Code |
D1A - Medical/surgical supplies |
HCPCS Type Of Service Code 1 |
S - Surgical dressings or other medical supplies (eff 04/95) |
HCPCS Anesthesia Base Unit Quantity |
0 |
HCPCS Code Added Date |
1/1/1997 |
HCPCS Action Effective Date |
1/1/2009 |
HCPCS Action Code |
N - No maintenance for this code |