HCPCS Level II · Transparent film
A6258: transparent film, more than 16 up to 48 sq. in.
A sterile transparent film dressing, size 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
- Size more than 16 up to 48 sq. in.
- Adhesive border
- Not part of the descriptor
- PCSS products
- 1 line, 1 size
Official CMS descriptor
How CMS describes A6258
“Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing”
- Code
- A6258
- Short descriptor
- Transparent film >16<=48 in
- 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 A6258
PCSS suggests A6258 as the typical HCPCS category for these product sizes.
Transparent film
Gauze, composites & film
Size PCSS suggests A6258 for
- 4×4¾
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
Dressing size sets the band
CMS splits this dressing type into 3 bands: size 16 sq. in. or less, size more than 16 up to 48 sq. in. and size more than 48 sq. in. Multiply the dressing's length by its width: a 6×6 in. dressing is 36 sq. in., which falls in A6258's band (more than 16 up to 48 sq. in.).
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 A6258
PCSS has no code-specific Medicare notes for A6258. 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
Transparent film: other codes
Codes PCSS carries open their own page; the rest open in the full lookup.
Questions
A6258: common questions
Answers draw on the CMS descriptor, PCSS's suggested codes and the Medicare notes on this page.
What is HCPCS code A6258?
A6258 is a Level II HCPCS code. Its CMS long descriptor reads “Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing”, and its short descriptor is “Transparent film >16<=48 in” (October 2026 Alpha-Numeric HCPCS File, CMS).
What does PCSS suggest A6258 for?
PCSS suggests A6258 as the typical HCPCS category for Transparent film (4×4¾). 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 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.
What size range does A6258 cover?
A6258 covers a dressing size of more than 16 up to 48 sq. in. In the same series, A6257 covers a size of 16 sq. in. or less and A6259 covers a size of more than 48 sq. in.
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