LCD L33831: Surgical Dressings — DME MAC
DME
Government source· CMS / MACverify ↗HCPCS Level II code
A6220 — Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
HCPCS Level IIVerified Sep 19, 2026
Medicare payment
—
No national Medicare fee schedule we hold prices A6220 — the Physician Fee Schedule lists it with status indicator P (2026 file). CMS fee schedules ↗
Code definition
Code
A6220
Code system
HCPCS Level II
Full description
Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
Policy activity for HCPCS A6220
CLV Intelligence is tracking 1 policy change that cite HCPCS A6220 most recently on 2026-07-13, drawn from 1 LCD/NCD coverage update. The changes span DME.
- LCD/NCD coverage update
- 1
Counts reflect the source documents CLV has matched to HCPCS A6220 to date; each links to the government publication that is authoritative. Monitored daily from CMS, the Federal Register, and Medicare Administrative Contractor publications.
Recent policy changes matched to A6220
Matched to this code by CLV analysis of each policy. The linked source document is authoritative.
Audit documentation
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