Coverage starts with a qualifying wound
Medicare covers surgical dressings when a qualifying wound is present: a wound caused by, or treated by, a surgical procedure, or a wound after debridement.
Policy Article A54563(opens in a new tab)Products · Wound dressings
Bordered gauze, composite and transparent film dressings
The everyday dressings: sterile island gauze with an adhesive or silicone border, composite dressings that combine pad, backing and border, transparent film, and sterile conforming roll gauze.
Illustration, not the exact productAt a glance
- 5 product lines, 10 sizes
- Medicare: Bordered gauze once per day; composites and film up to 3 times per week
- Net-30 terms, no minimums to start
What we carry
Lines, sizes and suggested HCPCS.
The daily workhorses: island dressings, composites, film and roll gauze.
Sign in to the wholesale portal to view pricing and order supplies for your practice. Patient-direct supply uses a separate route described in How to order.
Bordered gauze
Sterile island gauze with an adhesive border.
Bordered gauze: sizes and suggested HCPCS Size Suggested HCPCS 4×4 A6219 6×6 A6220 8×8 A6221 Bordered dressings: the code follows the pad size, not the overall size — the border isn't counted. Confirm final coding with your billing staff.
Silicone bordered gauze
A gentle silicone border for fragile periwound skin.
Silicone bordered gauze: sizes and suggested HCPCS Size Suggested HCPCS 4×4 A6219 6×6 A6220 8×8 A6221 Bordered dressings: the code follows the pad size, not the overall size — the border isn't counted. Confirm final coding with your billing staff.
Composite dressing
Absorbent pad, breathable backing and adhesive border in one.
Composite dressing: sizes and suggested HCPCS Size Suggested HCPCS 4×4 A6203 6×6 A6204 Bordered dressings: the code follows the pad size, not the overall size — the border isn't counted. Confirm final coding with your billing staff.
Transparent film
For superficial wounds and securement.
Transparent film: sizes and suggested HCPCS Size Suggested HCPCS 4×4¾ A6258 Roll gauze, sterile
Conforming roll gauze.
Roll gauze, sterile: sizes and suggested HCPCS Size Suggested HCPCS 4.5 in. A6446
Suggested HCPCS codes are categories based on product type and pad size, for reference only — not a coding determination. Confirm final coding with your billing staff.
DME Supplier Manual, Appendix A (HCPCS descriptors)(opens in a new tab)Often chosen for
Gauze, composites & film: typical uses
- Light drainage and post-procedure coverage
- Fragile skin, with silicone-bordered gauze
- Superficial wounds and securement, with film
- Securing primary dressings, with roll gauze
General product information, not clinical advice. Choose dressings on clinical judgment and the patient's plan of care.
Compare families in the dressing selectorMedicare at a glance
- Typical HCPCS category
- Bordered gauze A6219–A6221 · composites A6203–A6205 · film A6257–A6259 · conforming roll A6446
- Change frequency (LCD L33831)
- Bordered gauze once per day; composites and film up to 3 times per week.
- Coverage
- Decided claim by claim. Surgical dressings need a qualifying wound, a documented evaluation and a current order; dressings applied as part of a billed professional service are included in that service.
Medicare notes
What applies to wound dressings.
Applied in the office vs. sent home
When a practitioner applies dressings as part of a professional service billed to Medicare, the dressings are included in that service and are not separately payable. Dressings sent home with the patient can be billed on their own claim, with the patient's home as the place of service — not the office.
Policy Article A54563(opens in a new tab)Silver and honey formats
We list silver (Ag) and honey products by their base dressing type. Medicare's surgical dressing LCD lists silver and honey among materials whose safety and effectiveness “have not been established,” and classifies dressings by their clinically predominant component — one made predominantly of such materials isn't considered reasonable and necessary. Code each product by its PDAC listing; choose products on clinical judgment.
LCD L33831(opens in a new tab)Codes are a guide
HCPCS ranges on this page are typical categories based on product type and pad size. Confirm final coding with your billing staff.
DME Supplier Manual, Appendix A (HCPCS descriptors)(opens in a new tab)Medicare details checked against CMS sources on October 6, 2026. Not billing, coding or legal advice.
Questions
Gauze, composites & film: common questions
Net-30 termsNo minimums to startStock orders in the wholesale portal
Which HCPCS codes apply?
Bordered gauze is coded A6219–A6221 by pad size, composites A6203–A6205, transparent film A6257–A6259 and conforming roll gauze A6446, per yard. Confirm final coding with your billing staff.
How often can they be changed under Medicare?
Bordered gauze up to once per day; composites and transparent film up to 3 times per week, under LCD L33831.
More from Pacific Coast Surgical Solutions
Mix these on the same order.
- Alginate & gelling fiberConformable absorbency for moderate to heavy drainage, with rope formats for depth.Sizes and codes
- Foam dressingsCushioned absorbency — bordered, non-bordered, silicone and silver.Sizes and codes
- Super absorbentsHigh-capacity pads that hold heavy exudate between changes.Sizes and codes
- HydrocolloidsOcclusive wafers for low to moderate drainage.Sizes and codes
- Hydrogels & honeyMoisture for dry to lightly draining wounds, in gauze, sheet, gel and tube formats.Sizes and codes
- Non-adherent layersPetrolatum, bismuth and oil-emulsion layers that lift cleanly at each change.Sizes and codes
- Wound cleanser8 oz cleanser spray for routine wound bed preparation.Sizes and codes
- Collagen & powdersCollagen sheets, silver collagen sheets and 1 g collagen particles for deep, irregular wounds.See the range
- Compression & wrapsZinc and calamine Unna boots, tubular bandages, cohesive wrap and conforming gauze.See the range
Wholesale portal
Wholesale pricing and stock orders.
Sign in to view wholesale pricing and order supplies for your practice. New customers create an account and sign the Net-30 agreement online; Aubrey countersigns to open ordering.
Help: (803) 422-2710Your practice’s wholesale account
View your catalog pricing, save business and ship-to details, and order once Aubrey has countersigned your agreement. Patient-direct orders follow the separate Equipia route described in How to order.
How to order