HCPCS Level II · Gauze, impregnated
A6222: impregnated gauze without border, pad 16 sq. in. or less
A sterile gauze dressing impregnated with something other than water, normal saline or hydrogel, 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, 3 sizes
Official CMS descriptor
How CMS describes A6222
“Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing”
- Code
- A6222
- Short descriptor
- Gauze <=16 in no w/sal w/o b
- 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 A6222
PCSS suggests A6222 as the typical HCPCS category for these product sizes.
Bismuth petrolatum gauze
Non-adherent & impregnated gauze
Sizes PCSS suggests A6222 for
- 2×2
- 4×4
Oil emulsion dressing
Non-adherent & impregnated gauze
Size PCSS suggests A6222 for
- 3×3
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 A6222's band (16 sq. in. or less).
Usual change frequency (LCD L33831)
- Non-adherent & impregnated gauze
- 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 A6222
PCSS has no code-specific Medicare notes for A6222. 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, impregnated: other codes
Codes PCSS carries open their own page; the rest open in the full lookup.
Questions
A6222: common questions
Answers draw on the CMS descriptor, PCSS's suggested codes and the Medicare notes on this page.
What is HCPCS code A6222?
A6222 is a Level II HCPCS code. Its CMS long descriptor reads “Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing”, and its short descriptor is “Gauze <=16 in no w/sal w/o b” (October 2026 Alpha-Numeric HCPCS File, CMS).
What does PCSS suggest A6222 for?
PCSS suggests A6222 as the typical HCPCS category for Bismuth petrolatum gauze (2×2, 4×4); Oil emulsion dressing (3×3). 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 non-adherent & impregnated gauze usually changed under Medicare?
Under LCD L33831, the usual change frequency for non-adherent & impregnated gauze: Up to once per day.
What size range does A6222 cover?
A6222 covers a pad of 16 sq. in. or less. In the same series, A6223 covers a pad of more than 16 up to 48 sq. in. and A6224 covers a pad of more than 48 sq. in.
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