HCPCS Code Details - A6215

HCPCS Level II Code
Transportation Services Including Ambulance, Medical & Surgical Supplies
HCPCS Code A6215
Description

Long description:
Foam dressing, wound filler, sterile, per gram

Short description:
Foam dressing wound filler

HCPCS Modifier1
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 L - ESRD supplies
Effective date Effective Jan 01, 2009
Date added Added Jan 01, 1997
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS A6209 · Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing

  • HCPCS A6210 · Foam 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

  • HCPCS A6211 · Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing

  • HCPCS A6212 · Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing

  • HCPCS A6213 · Foam 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

  • HCPCS A6214 · Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing

  • HCPCS A6216 · Gauze, non-impregnated, non-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”