2025 HCPCS code A6266

Impregnated gauze, sterile, any width, per linear yard (excluding water, saline, or zinc paste).

Adhere to current HCPCS coding guidelines and Medicare coverage rules for surgical dressings.Accurate documentation of medical necessity is vital for proper reimbursement.

Modifiers may apply depending on the circumstances of service, such as location or quantity.Consult the HCPCS manual and payer specific guidelines for modifier application.

The use of impregnated gauze must be medically necessary for wound care, meaning it must be essential for the treatment of the patient's condition and consistent with accepted medical practice.Documentation demonstrating medical necessity is critical.

The provider is responsible for applying the impregnated gauze to the wound.Documentation of medical necessity is crucial for reimbursement.

IMPORTANT A6222-A6224 (Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, without adhesive border, each dressing) may be used for impregnated gauze dressings with variable pad sizes.

In simple words: This code is for a specific type of sterile gauze that's been soaked in something other than water, salt water, or zinc paste.It's sold by the yard and needs another bandage to hold it in place.

HCPCS code A6266 represents the supply of each linear yard of gauze of any width that is impregnated with a solution, oil, or other agent, excluding water, normal saline, or zinc paste.The gauze is sterile and does not have an adhesive border, requiring a secondary dressing.Medicare covers surgical dressings only if medically necessary and properly documented.

Example 1: A patient presents with a large, infected wound requiring multiple layers of impregnated gauze to absorb drainage and promote healing.A6266 is used to bill for the gauze., A surgeon uses impregnated gauze soaked in iodine during a surgical procedure to control bleeding and prevent infection. A6266 reflects the supply of the iodine-soaked gauze used., A wound care nurse applies petroleum jelly-impregnated gauze to a patient's chronic wound to maintain moisture and protect the wound bed. The quantity of gauze used determines the number of units billed using A6266.

Detailed medical records including the type and amount of impregnated gauze used, the wound's location, size, and condition, and the clinical justification for its use are needed for accurate billing.

** Always verify the specific payer's coverage guidelines and coding requirements. The agent used to impregnate the gauze must be specified in the medical record.Using this code for gauze impregnated with water, normal saline, or zinc paste is incorrect.

  • Payment Status: Active
  • Modifier TC rule: Not applicable.A6266 represents supply of the gauze.
  • Fee Schedule : The fee schedule for A6266 will vary based on payer, location, and date of service. Contact the specific payer or refer to their fee schedule.
  • Specialties:Wound care, surgery, general practice
  • Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center, Skilled Nursing Facility, Home Health
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