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HCPCS Level II · Specialty absorptive dressings

A6256: specialty absorptive dressing with border, pad more than 48 sq. in.

A sterile specialty absorptive wound cover, with an adhesive border, pad more than 48 sq. in., billed per dressing.

Illustration of a quilted super absorbent dressing padIllustration, not the exact product

At a glance

Billing unit
Each (per dressing)
Size band
Pad more than 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 A6256

“Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing”

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
A6256
Short descriptor
Absorpt drg > 48 sq in w/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 A6256

PCSS suggests A6256 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.

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 8×8 in. pad is 64 sq. in., which falls in A6256's band (more than 48 sq. in.). For this bordered code, measure the pad only: the adhesive border isn't counted.

Codes in this series by size band
Size bandCode
Pad 16 sq. in. or lessA6254PCSS carries
Pad more than 16 up to 48 sq. in.A6255PCSS carries
Pad more than 48 sq. in.A6256 (this page)

Usual change frequency (LCD L33831)

Super absorbents
Up to once per day without a border; up to every other day with a border.

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 A6256

PCSS has no code-specific Medicare notes for A6256. 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.

Questions

A6256: common questions

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

What is HCPCS code A6256?

A6256 is a Level II HCPCS code. Its CMS long descriptor reads “Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing”, and its short descriptor is “Absorpt drg > 48 sq in w/bdr” (October 2026 Alpha-Numeric HCPCS File, CMS).

What does PCSS suggest A6256 for?

PCSS suggests A6256 as the typical HCPCS category for Super absorbent, adherent (8×8); Silicone super absorbent, bordered (8×8). 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 A6256?

No. A6256'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 super absorbents usually changed under Medicare?

Under LCD L33831, the usual change frequency for super absorbents: Up to once per day without a border; up to every other day with a border.

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