A6402

Short Description

• Sterile gauze <= 16 sq in

HCPCS Coverage Code

• D = Special coverage instructions apply

HCPCS Action Code

• N = No maintenance for this code

HCPCS Action Effective Date

• January 01, 2006

HCPCS Code Added Date

• January 01, 1997

HCPCS Pricing Indicator Code

• 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

• 2079

HCPCS 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)

HCPCS Anesthesia Base Unit Quantity

• 0