2025 HCPCS code A6218
(Active) Effective Date: N/A Revision Date: N/A Medical Supplies - Gauze Dressings Medical And Surgical Supplies Feed
Supply of non-impregnated, non-sterile gauze dressing; pad size >48 sq in, without adhesive border.
Modifiers A1-A9 (number of wounds) and other applicable modifiers (e.g., LT, RT, -1S, CR, AW) may be used as per guidelines.
The medical necessity is established by documenting the presence of a wound requiring a large, non-adhesive gauze dressing for proper management and healing. The size and type of gauze must be clinically appropriate for the wound.
The clinical responsibility involves assessing the wound, determining the appropriate size and type of dressing, applying the dressing, and providing patient education on wound care and dressing changes.Documentation should clearly support the medical necessity of the dressing.
In simple words: This code covers the cost of providing a large (bigger than 48 square inches), plain gauze bandage without sticky edges to cover a wound. It helps protect the wound from germs and soak up any fluid.
This HCPCS code reports the supply of non-impregnated, non-sterile gauze dressings with a pad size exceeding 48 square inches and lacking an adhesive border.The gauze is used to dress open wounds, absorbing exudate, and protecting against bacterial infection.The code represents the supply of each individual dressing.The size of the dressing should be appropriate for the wound's dimensions.
Example 1: A patient presents with a large, exuding leg ulcer. The physician determines that a non-impregnated gauze dressing larger than 48 square inches is necessary to manage the wound effectively. Code A6218 is used to bill for the supply of this dressing., A patient with a surgical incision requiring a large dressing is discharged with a supply of A6218 gauze dressings for home use.Appropriate documentation and the –1S modifier are needed for proper billing., During a disaster relief effort, a healthcare provider uses A6218 gauze dressings to treat multiple trauma patients with extensive wounds.The appropriate modifier (e.g., CR for Catastrophe/disaster related) may be necessary.
* Detailed description of the wound (location, size, presence of infection, exudate).* Justification for the use of a specific gauze size (A6218).* Indication of whether the dressing was applied in the clinic or given for home use.* Any applicable modifiers (e.g., -1S, CR).
** The cost of A6218 varies according to provider and payer.Always confirm reimbursement rates with the relevant payer.
- Payment Status: Active
- Modifier TC rule: Not applicable, as this code represents a supply.
- Specialties:Wound care, surgery, emergency medicine, family medicine
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center, Home