| Field Name |
Field Value |
| Healthcare Common Procedure Coding System Code |
A6232 |
| HCPCS Sequence Number |
0010 |
| HCPCS Record Identification Code |
3 - First line of procedure record also contains detail information in positions 92-275 |
| HCPCS Long Description |
Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing |
| HCPCS Short Description |
Hydrogel dsg>16<=48 sq in |
| HCPCS Pricing Indicator Code 1 |
35 - Surgical dressings (price subject to floors and ceilings) |
| HCPCS Multiple Pricing Indicator Code |
A - Not applicable as HCPCS priced under one methodology |
| HCPCS Medicare Carriers Manual Reference Section Number 1 |
2079 |
| HCPCS Coverage Code |
D - Special coverage instructions apply |
| HCPCS Berenson-Eggers Type Of Service Code |
D1A - Medical/surgical supplies |
| HCPCS Type Of Service Code 1 |
S - Surgical dressings or other medical supplies (eff 04/95) |
| HCPCS Anesthesia Base Unit Quantity |
0 |
| HCPCS Code Added Date |
1/1/2001 |
| HCPCS Action Effective Date |
1/1/2009 |
| HCPCS Action Code |
N - No maintenance for this code |