2025 HCPCS code A6220

Non-impregnated sterile gauze dressing pad, sized >16 sq. in. and ≤48 sq. in., with adhesive border.

Use modifiers A1-A9 to indicate the number of wounds dressed, AW if used in conjunction with another surgical dressing, and LT or RT for left or right side application, respectively.For home use, indicate place of service as patient's residence (POS 12).

Modifiers A1-A9 (for number of wounds), AW (used with another dressing), LT/RT (left/right side) are applicable.POS 12 for home use.

Medical necessity must be established by documenting the clinical rationale for using this specific type and size of dressing.This could include wound dimensions, characteristics, location, and the need to protect, absorb exudate, or prevent infection.

Clinicians apply this dressing to cover open wounds, scrub, wipe, or absorb exudate. It can also be provided to patients for self-application at home.Appropriate sizing is crucial based on the wound dimensions.

IMPORTANT For dressings without adhesive borders, use A6216-A6218. For smaller or larger pads with adhesive borders, see A6219 and A6221 respectively. For impregnated gauze, refer to codes A6222-A6224 and A6266.

In simple words: Sterile gauze pad with a sticky edge, bigger than a small bandage but smaller than a large one. It's used to cover and protect wounds.

Sterile, non-impregnated gauze dressing with a pad size greater than 16 square inches but less than or equal to 48 square inches, featuring an adhesive border of any size. Used for dressing open wounds, scrubbing, wiping, or absorbing exudate.Helps protect the wound from bacterial infection.

Example 1: A patient presents with a 20 sq. in. abrasion on their forearm. A6220 is used to dress and protect the wound., Following a surgical procedure, a 30 sq. in. incision is dressed with A6220. The adhesive border helps secure the dressing in place. , A patient with a 40 sq. in. burn receives A6220 dressings to absorb exudate and minimize infection risk.

Documentation should include wound size, location, type, and the medical necessity for the dressing.If applied post-operatively, the related procedure should be noted.

** This code represents the supply of the dressing itself, not the application. The application may be bundled into other procedure codes or billed separately. Always check payer guidelines for specific documentation and coding requirements.

  • Payment Status: Active
  • Specialties:Wound care, general surgery, dermatology, emergency medicine, podiatry, and any specialty managing wounds
  • Place of Service:Office, Home, Inpatient Hospital, On Campus-Outpatient Hospital,Off Campus-Outpatient Hospital,Ambulatory Surgical Center,Military Treatment Facility, Skilled Nursing Facility, Nursing Facility, and other places where wound care is provided.
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