2025 HCPCS code A6219

Supply of non-impregnated sterile gauze dressing with a pad size of 16 square inches or less and an adhesive border, for wound care.

Follow HCPCS coding guidelines for medical and surgical supplies.Appropriate modifiers should be used to accurately reflect the service provided.

Modifiers A1-A9 (number of wounds), LT (left side), RT (right side), and AW (item furnished in conjunction with a surgical dressing) may apply.

The medical necessity for A6219 is established by the presence of an open wound requiring dressing.Documentation must support the medical need for the dressing and appropriate wound care practices.

The clinical responsibility lies with the healthcare provider who supplies the dressing.This could be a physician, nurse, or other qualified healthcare professional.

IMPORTANT Use A6216-A6218 for non-impregnated gauze dressings without adhesive borders. A6220, A6221 for larger gauze sizes, A6222-A6224 for gauze impregnated with hydrogel or saline, and A6266 for gauze impregnated with substances other than water, saline, or zinc paste.

In simple words: This code covers the cost of a small, sterile gauze pad with sticky edges used to cover a wound. It's for the pad itself, not for putting it on.

This HCPCS code reports the supply of non-impregnated sterile gauze dressing used to cover open wounds, absorb exudate, and protect against infection.The dressing's pad size is 16 square inches or less, and it includes an adhesive border.The code covers the supply of the dressing itself, not its application. Multiple wounds require using the appropriate modifier (A1-A9) to indicate the number of wounds dressed.Modifiers LT (left side) and RT (right side) can be added for extremity wounds. Modifier AW (item furnished in conjunction with a surgical dressing) may also apply.For home use, the place of service should be indicated as the patient's residence (POS 12).

Example 1: A patient presents with a small laceration on their forearm. The physician cleans the wound and applies a sterile gauze dressing (A6219) to promote healing and prevent infection., A patient with a chronic venous ulcer requires a dressing change. The nurse applies several small gauze dressings (A6219, with modifier A3 to indicate 3 wounds treated) to the ulcerated area, absorbing exudate and protecting the wound., Following a minor surgical procedure, a sterile gauze dressing (A6219) is applied to the incision site before the patient is discharged home, with instructions for self-care and dressing changes.

Documentation should include the size and type of dressing used, the location and number of wounds treated (using modifiers as necessary), and the clinical indication for the dressing (e.g., wound care, infection prevention).

** The code only covers the supply of the dressing; separate codes would be used for application or other services.

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