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HCPCS Level II/A-Codes/A6454

A6454 HCPCS Level II Code: Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard

Medicare Coverage & Payment

  • Medicare coverage: Carrier judgment (CMS coverage code C)
  • Payment category: Surgical dressings (pricing indicator 35)
  • BETOS: D1A — Medical/surgical supplies
  • Last CMS action effective: January 1, 2004

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

Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard is a HCPCS Level II code (A6454). CMS assigns coverage code C — Carrier judgment. Short description: Self-adher band w>=3" <5"/yd.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to A6454 in its code family, with their registry titles.

  • A6449 — Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard
  • A6450 — Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard
  • A6451 — Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard
  • A6452 — High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard
  • A6453 — Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard
  • A6455 — Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard
  • A6456 — Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard
  • A6457 — Tubular dressing with or without elastic, any width, per linear yard
  • A6460 — Synthetic resorbable wound dressing, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
  • A6461 — Synthetic resorbable wound dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing