2025 HCPCS code A6246

Sterile hydrogel wound cover dressing, pad size > 16 sq in, ≤ 48 sq in, with adhesive border.

Use appropriate modifiers for number of wounds (A1-A9), application with surgical dressing (AW), and laterality (LT, RT). For dressings sent home, indicate place of service as patient’s residence (POS 12).

Yes. Modifiers can be used to indicate the number of wounds dressed (A1-A9), application in conjunction with a surgical dressing (AW), and laterality (LT, RT).

Medicare covers hydrogel dressings when medically necessary.Medical necessity should be supported by documentation of the wound's condition and the need for a moist wound environment.

Report this code for the application of a sterile hydrogel wound dressing. Ensure the dressing size is appropriate for the wound.This dressing can be applied by the patient at home.

IMPORTANT For dressings 16 sq inches or less, use A6245. For dressings larger than 48 sq inches, use A6247. See codes A6216-A6248 for other sizes and types of gauze, hydrocolloid, and hydrogel dressings.

In simple words: A special gel dressing, bigger than a small bandage but smaller than a large one, that helps keep wounds moist and comfortable. It can be used at home.

Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing. This dressing is used to cover open wounds, keeping them moist and cool. It can be self-applied at home. The dressing size must be appropriate for the wound size.

Example 1: A patient with a 20 sq inch burn receives a sterile hydrogel dressing (A6246) to promote healing and pain relief., A home health patient with a 25 sq inch pressure ulcer requires daily dressing changes with A6246. The patient is instructed on self-application., A patient with a 30 sq inch venous stasis ulcer receives A6246 during an outpatient wound care visit.

Document wound size, type, location, and medical necessity for the dressing.If the patient will self-apply at home, document patient education regarding proper application and disposal techniques.

  • Payment Status: Active
  • Specialties:Wound Care, General Surgery, Dermatology, Podiatry, Plastic Surgery, Family Medicine,Home Health
  • Place of Service:Office, Home, Outpatient Hospital, Skilled Nursing Facility, Hospice, Other Place of Service
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