2025 HCPCS code A6224

Sterile gauze dressing, impregnated with material other than water, normal saline, or hydrogel, pad size > 48 sq in, without adhesive border, each dressing.

Use appropriate modifiers to indicate the number of wounds treated, not the total number of wounds present.Use modifier AW when furnished in conjunction with a surgical dressing.Append modifier LT or RT for extremity wounds.For dressings sent home with the patient, indicate place of service as the patient’s residence (POS 12).

Yes. Modifiers such as A1-A9 (for the number of wounds dressed), AW (item furnished with surgical dressing), LT (left side), and RT (right side) can be applied.

Medical necessity must be established for the use of A6224.The documentation must support the need for a dressing of this type and size based on the patient's condition and wound characteristics.Medicare requires clear documentation of medical necessity for coverage of gauze dressings.

Report this code for the use of a sterile gauze dressing impregnated with material other than water, normal saline, or hydrogel to cover an open wound, absorb drainage, and protect the wound from bacterial infection.Ensure the dressing size is appropriate for the wound. Documentation of medical necessity is required for Medicare coverage.

IMPORTANT For dressings smaller than 16 sq inches, use A6222. For dressings larger than 16 sq inches but smaller than or equal to 48 sq inches, use A6223.See codes A6216 to A6248 for other sizes and types of gauze, hydrocolloid, and hydrogel dressings.

In simple words: This code covers a large, sterile gauze dressing soaked in a special material (not water or saline). It's used for covering large wounds, absorbing fluids, and preventing infection.

This code covers the supply of a sterile dressing of impregnated gauze with material other than water, normal saline, or hydrogel with a pad size larger than 48 square inches, without an adhesive border.It is used to cover an open wound, absorb drainage, and protect the wound from bacterial infection. This dressing can be sent with the patient for self application at home. The size of the dressing must be appropriate to the wound size.

Example 1: A patient with a large burn wound requires a sterile, non-adherent dressing larger than 48 square inches to cover the affected area and promote healing., A patient undergoes a surgical procedure resulting in a large incision. A6224 is used to cover the incision, absorb post-operative drainage, and prevent infection., A patient with a chronic skin ulcer has a wound larger than 48 square inches. A6224 is billed for the dressing applied during a home health visit.

Documentation should include wound size, type of dressing used, and medical necessity for the dressing. For Medicare patients, documentation of medical necessity is crucial for coverage.

  • Payment Status: Active
  • Specialties:Wound Care, General Surgery, Burn Care, Home Health, Plastic Surgery
  • Place of Service:Home, Inpatient Hospital, Outpatient Hospital, Office, Skilled Nursing Facility, Hospice, Home Health Agency
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