A6215 HCPCS - FOAM DRESSING, WOUND FILLER, STERILE, PER GRAM

Code Information

  • HCPCS Code: A6215
  • Sequence Number: 0010
  • Short Description: Foam dressing wound filler
  • Long Description: Foam dressing, wound filler, sterile, per gram
  • Date Added: 1/1/1997
  • Action Code: N - No maintenance for this code
  • Action Effective Date: 1/1/2009
  • Classification: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental
  • Coding System: HCPCS

Code Type

  • Berenson-Eggers Type Of Service Code: D1A - Medical/surgical supplies
  • Type Of Service Code:
    • L - ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)
    • S - Surgical dressings or other medical supplies (eff 04/95)

Billing Information

  • Pricing Indicator Code:
    • 46 - Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)
  • Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
  • Coverage Issues Manual Reference Section Number:
      N/A
    • Medicare Carriers Manual Reference Section Number:
      • 2079
    • Coverage Code: D - Special coverage instructions apply

    HCPCS Record

    Field Name Field Value
    Healthcare Common Procedure Coding System Code A6215
    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 Foam dressing, wound filler, sterile, per gram
    HCPCS Short Description Foam dressing wound filler
    HCPCS Pricing Indicator Code 1 46 - Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)
    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 L - ESRD supplies (eff 04/95) (renal supplier in the home before 04/95)
    HCPCS Type Of Service Code 2 S - Surgical dressings or other medical supplies (eff 04/95)
    HCPCS Anesthesia Base Unit Quantity 0
    HCPCS Code Added Date 1/1/1997
    HCPCS Action Effective Date 1/1/2009
    HCPCS Action Code N - No maintenance for this code

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    This page was last updated on: 7/1/2024