HCPCS Code A6221

Gauze, non-impregnated, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
Code effective Jan 01, 2009

HCPCS Section
Transportation Services Including Ambulance, Medical & Surgical Supplies

A6221 is a valid 2026 HCPCS code meaning Gauze, non-impregnated, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing or (Gauze > 48 sq in w/border) for short. HCPCS A6221 has been effective since 01/01/2009 and applies to Surgical dressings or other medical supplies.

HCPCS Code Details - A6221
HCPCS Level II Code Section A - Transportation Services Including Ambulance, Medical & Surgical Supplies
HCPCS Code	`A6221`
Description	Long description: Gauze, non-impregnated, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing Short description: Gauze > 48 sq in w/border
HCPCS Pricing indicator	`46` - Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)
Multiple pricing indicator	`A` - Not applicable as HCPCS priced under one methodology
Coverage code	`D` - Special coverage instructions apply
BETOS² code	`D1A` - Medical/surgical supplies
HCPCS Action code	`N` - No maintenance for this code
Type of service	`S` - Surgical dressings or other medical supplies
Effective date	Effective Jan 01, 2009
Date added	Added Jan 01, 1997

HCPCS A6219 · Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
HCPCS A6220 · 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 A6402 · Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
HCPCS 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
HCPCS A6404 · Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
HCPCS A6222 · Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing

¹ Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

² BETOS stands for “Berenson-Eggers Type Of Service”

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 6/23/2026

HCPCS Code A6221

HCPCS Code Details - A6221

See also

HCPCS A6219 · Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing

HCPCS A6220 · 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 A6402 · Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing

HCPCS 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

HCPCS A6404 · Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adhesive border, each dressing

HCPCS A6222 · Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing