A6222 HCPCS - GAUZE, IMPREGNATED WITH OTHER THAN WATER, NORMAL SALINE, OR HYDROGEL, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSING

Code Information

HCPCS Code: A6222
Sequence Number: 0010
Short Description: Gauze <=16 in no w/sal w/o b
Long Description: Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
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

Berenson-Eggers Type Of Service Code: D1A - Medical/surgical supplies
Type Of Service Code:
- S - Surgical dressings or other medical supplies (eff 04/95)

Pricing Indicator Code:
- 35 - Surgical dressings (price subject to floors and ceilings)
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

Field Name	Field Value
Healthcare Common Procedure Coding System Code	A6222
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 with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
HCPCS Short Description	Gauze <=16 in no w/sal w/o b
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	1/1/1997
HCPCS Action Effective Date	1/1/2009
HCPCS Action Code	N - No maintenance for this code