2025 HCPCS code A6222

Sterile gauze dressing, impregnated with material other than water, normal saline, or hydrogel; pad size ≤16 sq in, without adhesive border.

Appropriate modifier(s) (e.g., for multiple wounds) should be appended as necessary.Code selection should reflect the actual size of the dressing applied.Place of service coding should accurately reflect where the dressing was applied (e.g., in-office, home health).

Modifiers may be appended to A6222 to indicate multiple wounds (A1-A9), wound location (LT, RT), or other relevant circumstances (e.g., AW for use with a surgical dressing).

Medical necessity for A6222 is established by documentation showing the wound requires a dressing of this type and size for the purposes of wound protection, absorption of drainage, and prevention of infection.The physician's clinical judgment regarding the appropriateness of this specific dressing should be documented.Payer specific guidelines may further refine medical necessity criteria.

The physician or other qualified healthcare professional is responsible for determining the medical necessity of the dressing, selecting the appropriate size and type of dressing, and ensuring proper application techniques are followed.They should also document the wound assessment and the rationale for using this specific dressing.

IMPORTANT For dressings larger than 16 sq in but ≤48 sq in, use A6223. For dressings >48 sq in, use A6224.See codes A6216-A6248 for other gauze, hydrocolloid, and hydrogel dressings. Use appropriate modifiers for number of wounds and location (LT/RT).

In simple words: This code is for a small sterile gauze bandage (16 square inches or less, without sticky edges) that's soaked in something other than just water or saline.It's used to cover wounds, soak up fluid, and help prevent infection. Your doctor will need to show it's medically necessary for insurance to pay.

This HCPCS code covers the supply of a sterile gauze dressing impregnated with a material other than water, normal saline, or hydrogel.The dressing must have a pad size of 16 square inches or less and should not have an adhesive border. The code is reported for use in covering open wounds, absorbing drainage, and protecting the wound from bacterial infection.The dressing may be sent home with the patient for self-application. Medicare coverage requires documentation of medical necessity.

Example 1: A patient presents with a small, superficial laceration on their forearm. The physician cleans the wound and applies a sterile gauze dressing (A6222) to protect the wound, absorb drainage, and prevent infection. The patient is instructed on proper wound care and sent home with the dressing., A patient with a chronic venous ulcer on their lower leg requires a dressing change. The nurse applies A6222 dressing to the wound, which is appropriately sized to the affected area. The dressing helps to absorb excess drainage and promote healing., During a minor surgical procedure, a small incision is made, and a sterile gauze dressing (A6222) is used to provide hemostasis and prevent contamination. The dressing is removed after a short time.

* Thorough wound assessment and documentation.* Indication of the wound size and location.* Type and size of the dressing used (A6222).* Justification for medical necessity of the dressing.* Patient education regarding wound care.

** Always confirm the specific requirements of the payer for coverage and coding of A6222.Ensure proper documentation supports medical necessity.

  • Revenue Code:
  • RVU:
  • Global Days :
  • Payment Status: Active
  • Modifier TC rule: Modifier TC does not apply to A6222 as this is a supply code.
  • Fee Schedule :
  • Specialties:Wound Care, General Surgery, Family Medicine, Dermatology
  • Place of Service:Office, Home, Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center
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