HCPCS Level II · Gauze, non-impregnated, and packing strips
A6220: gauze dressing with border, pad more than 16 up to 48 sq. in.
A sterile non-impregnated gauze dressing, with an adhesive border, pad more than 16 up to 48 sq. in., billed per dressing.
Illustration, not the exact productAt a glance
- Billing unit
- Each (per dressing)
- Size band
- Pad more than 16 up to 48 sq. in.
- Adhesive border
- With any size border; the pad size sets the code
- PCSS products
- 2 lines, 2 sizes
Official CMS descriptor
How CMS describes 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”
- Code
- A6220
- Short descriptor
- Gauze >16 <=48 sq in w/bordr
- 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 A6220
PCSS suggests A6220 as the typical HCPCS category for these product sizes.
Pad size, not overall size. The CMS descriptor says “with any size adhesive border”, so the code follows the pad size, not the overall dressing size. The border isn't counted.
Bordered gauze
Gauze, composites & film
Size PCSS suggests A6220 for
- 6×6
Silicone bordered gauze
Gauze, composites & film
Size PCSS suggests A6220 for
- 6×6
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.
Sizes are shown as PCSS lists them. For a bordered dressing, check the pad's dimensions before choosing a band.
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 6×6 in. pad is 36 sq. in., which falls in A6220's band (more than 16 up to 48 sq. in.). For this bordered code, measure the pad only: the adhesive border isn't counted.
Usual change frequency (LCD L33831)
- Gauze, composites & film
- Bordered gauze once per day; composites and film up to 3 times per week.
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 A6220
PCSS has no code-specific Medicare notes for A6220. 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
Gauze, non-impregnated, and packing strips: other codes
Codes PCSS carries open their own page; the rest open in the full lookup.
- A6216Non-sterile gauze<=16 sq inIn the lookup
- A6217Non-sterile gauze>16<=48 sqIn the lookup
- A6218Non-sterile gauze > 48 sq inIn the lookup
- A6219PCSS carriesGauze <= 16 sq in w/borderCode page
- A6221PCSS carriesGauze > 48 sq in w/borderCode page
- A6402Sterile gauze <= 16 sq inIn the lookup
- A6403Sterile gauze>16 <= 48 sq inIn the lookup
- A6404Sterile gauze > 48 sq inIn the lookup
- A6407Packing strips, non-impregIn the lookup
Questions
A6220: common questions
Answers draw on the CMS descriptor, PCSS's suggested codes and the Medicare notes on this page.
What is HCPCS code A6220?
A6220 is a Level II HCPCS code. Its CMS long descriptor reads “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”, and its short descriptor is “Gauze >16 <=48 sq in w/bordr” (October 2026 Alpha-Numeric HCPCS File, CMS).
What does PCSS suggest A6220 for?
PCSS suggests A6220 as the typical HCPCS category for Bordered gauze (6×6); Silicone bordered gauze (6×6). 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.
Does the adhesive border count toward the pad size for A6220?
No. A6220's CMS descriptor says “with any size adhesive border”, so the code follows the pad size, not the overall dressing size; the border isn't counted. Confirm final coding with your billing staff.
How often are gauze, composites & film usually changed under Medicare?
Under LCD L33831, the usual change frequency for gauze, composites & film: Bordered gauze once per day; composites and film up to 3 times per week.
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