Skip to main content
HCPCS Level II/A-Codes/A6217

A6217 HCPCS Level II Code: Gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing

Medicare Coverage & Payment

  • Medicare coverage: Special coverage instructions apply (CMS coverage code D)
  • Payment category: Surgical dressings (pricing indicator 35)
  • BETOS: D1A
  • Effective: January 1, 2003

Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.

Official Registry Overview & Definition

Gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing is a HCPCS Level II code (A6217). CMS assigns coverage code D — Special coverage instructions apply. Short description: Non-sterile gauze>16<=48 sq.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to A6217 in its code family, with their registry titles.

  • A6212 — Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
  • A6213 — Foam 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
  • A6214 — Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
  • A6215 — Foam dressing, wound filler, sterile, per gram
  • A6216 — Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
  • A6218 — Gauze, non-impregnated, non-sterile, pad size more than 48 sq. in., without adhesive border, each dressing
  • A6219 — Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
  • 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
  • A6221 — Gauze, non-impregnated, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
  • A6222 — Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing