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HCPCS Level II · Self-adherent bandages

A6454: self-adherent bandage, 3 in. to under 5 in. wide

An elastic, non-knitted, non-woven self-adherent bandage, 3 in. to under 5 in. wide, billed per yard.

Illustration of a tubular bandage and a roll of cohesive wrapIllustration, not the exact product

At a glance

Billing unit
Per yard
Width
3 in. to under 5 in. wide
PCSS products
1 line, 1 size

Official CMS descriptor

How CMS describes A6454

“Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard”

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
A6454
Short descriptor
Self-adher band w>=3" <5"/yd
Code added
January 1, 2004
Action effective date
January 1, 2004
Status in this file
Active (no termination date)

PCSS products

What PCSS carries under A6454

PCSS suggests A6454 as the typical HCPCS category for these product sizes.

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.

Width

Width sets the code

CMS splits this bandage type by width: less than 3 in. wide, 3 in. to under 5 in. wide and 5 in. or wider. A6454 covers bandages 3 in. to under 5 in. wide, billed “per yard”.

Codes in this series by width
WidthCode
Less than 3 in. wideA6453
3 in. to under 5 in. wideA6454 (this page)
5 in. or widerA6455

Usual change frequency (LCD L33831)

No frequency specific to self-adherent bandages. The LCD's bandage section, which lists them, says: “Most compression bandages are reusable. Frequency of replacement would be no more than one per week unless they are part of a multi-layer compression bandage system.”

LCD L33831(opens in a new tab)

Medicare notes for A6454

PCSS has no code-specific Medicare notes for A6454. 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

Codes PCSS carries open their own page; the rest open in the full lookup.

Questions

A6454: common questions

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

What is HCPCS code A6454?

A6454 is a Level II HCPCS code. Its CMS long descriptor reads “Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard”, and its short descriptor is “Self-adher band w>=3" <5"/yd” (October 2026 Alpha-Numeric HCPCS File, CMS).

What does PCSS suggest A6454 for?

PCSS suggests A6454 as the typical HCPCS category for Cohesive wrap, tan (3 in.). 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 LCD L33831 set a change frequency for A6454?

No frequency specific to self-adherent bandages. The LCD's bandage section, which lists them, says: “Most compression bandages are reusable. Frequency of replacement would be no more than one per week unless they are part of a multi-layer compression bandage system.”

What width does A6454 cover?

A6454 covers bandages 3 in. to under 5 in. wide, billed per yard. In the same series, A6453 covers bandages less than 3 in. wide and A6455 covers bandages 5 in. or wider.

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