HCPCS Code A6402

Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
Code effective Jan 01, 2006

HCPCS Section
Transportation Services Including Ambulance, Medical & Surgical Supplies

A6402 is a valid 2026 HCPCS code meaning Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing or (Sterile gauze <= 16 sq in) for short. HCPCS A6402 has been effective since 01/01/2006 and applies to ESRD supplies.

HCPCS Code Details - A6402

HCPCS Level II Code
Section A - Transportation Services Including Ambulance, Medical & Surgical Supplies
HCPCS Code A6402
Description

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

Short description:
Sterile gauze <= 16 sq in

HCPCS Pricing indicator 35 - Surgical dressings (price subject to floors and ceilings)
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 L - ESRD supplies
Effective date Effective Jan 01, 2006
Date added Added Jan 01, 1997

See also

  • HCPCS A6266 · Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard

  • 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 A6221 · Gauze, non-impregnated, sterile, pad size more than 48 sq. in., with any size 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

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

CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.