Field Name |
Field Value |
Healthcare Common Procedure Coding System Code |
A6223 |
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, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing |
HCPCS Short Description |
Gauze >16<=48 no w/sal w/o b |
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 |