This section covers a wide variety of medical and surgical supplies, as well as some DME-related supplies and accessories. Medicare generally covers DME-related supplies, accessories, maintenance, and repair under the prosthetic devices provision.

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• A6243

  Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing

• A6244

  Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing

• A6245

  Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing

• A6246

  Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing

• A6247

  Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing

• A6248

  Hydrogel dressing, wound filler, gel, per fluid ounce

• A6250

  Skin sealants, protectants, moisturizers, ointments, any type, any size

• A6251

  Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing

• A6252

  Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing

• A6253

  Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing

• A6254

  Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing

• A6255

  Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing

• 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

• A6402

  Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing

• 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

• A6442

  Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard

• A6443

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

• A6444

  Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard

• A6445

  Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard

• 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

• A6454

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

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HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/3/2026

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