2025 HCPCS code A6212
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing.
Modifiers are applicable to this code. Modifiers A1-A9 should be used to specify the number of wounds treated. LT and RT can be used to specify left or right side of the body. AW can be used when the foam dressing is used along with a surgical dressing.
Medical necessity is established by documenting the clinical need for a foam dressing based on the wound's characteristics and the patient's condition.
The clinician is responsible for selecting the appropriate size and type of dressing for the wound, applying it correctly, and monitoring the wound's progress.
In simple words: This code covers a special foam bandage used to cover wounds that are leaking a lot of fluid. It helps keep the wound moist so it can heal better.
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing. This dressing is typically made of polyurethane and is used for wounds with moderate to heavy exudate. It helps to keep the wound moist and encourages granulation tissue formation.
Example 1: A patient with a stage 2 pressure ulcer on the buttock measuring 2x2 cm with moderate exudate. A6212 is appropriate for this wound as it is less than 16 sq. inches and requires a moist environment to heal., A patient with a post-surgical incision site on the leg measuring 4x3 cm with heavy exudate requires a foam dressing to help absorb drainage. Since the dressing size is less than 16 square inches, A6212 would be the correct code to report., A patient with a diabetic foot ulcer of 1x1.5 cm. Although it is small, the wound has a moderate amount of exudate requiring a foam dressing.
Documentation should include the wound's size, location, type, amount of exudate, and the medical necessity for the foam dressing.
** This code is for the supply of the foam dressing only. Separate codes should be used for the application or changing of the dressing. It is important to document the size of the wound and amount of exudate to ensure correct coding and demonstrate medical necessity.
- Payment Status: Active
- Specialties:Wound care, general surgery, podiatry, dermatology, and other specialties that manage wounds.
- Place of Service:Office, Home, Inpatient Hospital, On Campus-Outpatient Hospital, Off Campus-Outpatient Hospital, Skilled Nursing Facility, Nursing Facility, Hospice, and other places of service where wound care is provided.