HCPCS Level II · Foam dressings
A6209: foam dressing without border, pad 16 sq. in. or less
A sterile foam wound cover, without an adhesive border, pad 16 sq. in. or less, billed per dressing.
Illustration, not the exact productAt a glance
- Billing unit
- Each (per dressing)
- Size band
- Pad 16 sq. in. or less
- Adhesive border
- Without an adhesive border
- PCSS products
- 2 lines, 4 sizes
Official CMS descriptor
How CMS describes A6209
“Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing”
- Code
- A6209
- Short descriptor
- Foam drsg <=16 sq in w/o bdr
- 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 A6209
PCSS suggests A6209 as the typical HCPCS category for these product sizes.
Non-bordered foam
Foams
Sizes PCSS suggests A6209 for
- 2×2
- 4×4
Blue specialty foam
Foams
Sizes PCSS suggests A6209 for
- 2×2
- 4×4
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
Pad size sets the band
CMS splits this dressing type into 3 bands: pad 16 sq. in. or less, pad more than 16 up to 48 sq. in. and pad more than 48 sq. in. Multiply the pad's length by its width: a 4×4 in. pad is 16 sq. in., which falls in A6209's band (16 sq. in. or less).
Usual change frequency (LCD L33831)
- Foams
- Cover dressings up to 3 times per week; foam fillers 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 A6209
PCSS has no code-specific Medicare notes for A6209. The documentation checklist covers what dressing orders and notes need to show.
Medicare details checked against CMS sources on October 6, 2026. Not billing, coding or legal advice.
Related codes
Foam dressings: other codes
Codes PCSS carries open their own page; the rest open in the full lookup.
- A6210PCSS carriesFoam drg >16<=48 sq in w/o bCode page
- A6211PCSS carriesFoam drg > 48 sq in w/o brdrCode page
- A6212PCSS carriesFoam drg <=16 sq in w/borderCode page
- A6213PCSS carriesFoam drg >16<=48 sq in w/bdrCode page
- A6214PCSS carriesFoam drg > 48 sq in w/borderCode page
- A6215Foam dressing wound fillerIn the lookup
Questions
A6209: common questions
Answers draw on the CMS descriptor, PCSS's suggested codes and the Medicare notes on this page.
What is HCPCS code A6209?
A6209 is a Level II HCPCS code. Its CMS long descriptor reads “Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing”, and its short descriptor is “Foam drsg <=16 sq in w/o bdr” (October 2026 Alpha-Numeric HCPCS File, CMS).
What does PCSS suggest A6209 for?
PCSS suggests A6209 as the typical HCPCS category for Non-bordered foam (2×2, 4×4); Blue specialty foam (2×2, 4×4). 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 foams usually changed under Medicare?
Under LCD L33831, the usual change frequency for foams: Cover dressings up to 3 times per week; foam fillers up to once per day.
What size range does A6209 cover?
A6209 covers a pad of 16 sq. in. or less. In the same series, A6210 covers a pad of more than 16 up to 48 sq. in. and A6211 covers a pad of more than 48 sq. in.
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