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HCPCS Level II · Alginate and other fiber gelling dressings

A6199: alginate wound filler, per 6 in.

A sterile alginate or other fiber gelling wound filler, billed per 6 inches.

Illustration of an alginate dressing pad and a coil of alginate ropeIllustration, not the exact product

At a glance

Billing unit
Per 6 in.
PCSS products
2 lines, 2 sizes

Official CMS descriptor

How CMS describes A6199

“Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches”

Long descriptor, verbatim, from the CMS October 2026 Alpha-Numeric HCPCS File (updated September 23, 2026). Level II HCPCS codes and descriptors are maintained by CMS.
HCPCS Quarterly Update(opens in a new tab)
Code
A6199
Short descriptor
Alginate drsg wound filler
Code added
January 1, 1997
Action effective date
January 1, 2009
Status in this file
Active (no termination date)

PCSS products

What PCSS carries under A6199

PCSS suggests A6199 as the typical HCPCS category for these product sizes.

PCSS's suggested HCPCS categories (July 2026) are for reference only, based on product type and pad size. It's a reference, not a coding determination. Confirm final coding with your billing staff.

General product information, not clinical advice.

Size band

Billed by quantity, not size band

A6199's descriptor has no size band. It's billed by quantity: “per 6 inches”.

Usual change frequency (LCD L33831)

Alginates & gelling fibers
Up to once per day.

Listed for the PCSS product group, in PCSS's plain-words summary of the LCD.

LCD L33831(opens in a new tab)

Medicare notes for A6199

Silver and honey formats

We list silver (Ag) and honey products by their base dressing type. Medicare's surgical dressing LCD lists silver and honey among materials whose safety and effectiveness “have not been established,” and classifies dressings by their clinically predominant component — one made predominantly of such materials isn't considered reasonable and necessary. Code each product by its PDAC listing; choose products on clinical judgment.

LCD L33831(opens in a new tab)

Medicare details checked against CMS sources on October 6, 2026. Not billing, coding or legal advice.

Questions

A6199: common questions

Answers draw on the CMS descriptor, PCSS's suggested codes and the Medicare notes on this page.

What is HCPCS code A6199?

A6199 is a Level II HCPCS code. Its CMS long descriptor reads “Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches”, and its short descriptor is “Alginate drsg wound filler” (October 2026 Alpha-Numeric HCPCS File, CMS).

What does PCSS suggest A6199 for?

PCSS suggests A6199 as the typical HCPCS category for Calcium alginate (Rope); Calcium alginate, silver (1×12 rope). PCSS's suggested HCPCS categories (July 2026) are for reference only, based on product type and pad size. Confirm final coding with your billing staff.

How often are alginates & gelling fibers usually changed under Medicare?

Under LCD L33831, the usual change frequency for alginates & gelling fibers: Up to once per day.

How is A6199 billed?

Per 6 inches: that's the unit in A6199's CMS descriptor.

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