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
Hydrogel and honey dressings
Hydrogels add moisture to dry and lightly draining wounds. PCSS carries hydrogel saturated gauze, a silver hydrogel in a 3 oz tube, a honey hydrogel sheet, and Manuka honey gel and dressings.
Illustration, not the exact productAt a glance
- 5 product lines, 10 sizes
- Silver (Ag) versions available
- Medicare: Hydrogel covers without an adhesive border, and hydrogel fillers: up to once per day. Covers with a border: up to 3 times per week. No frequency is stated for hydrogel-impregnated gauze. Gel filler (A6248) is also capped at 3 fluid ounces per wound in 30 days
- Net-30 terms, no minimums to start
What we carry
Lines, sizes and suggested HCPCS.
Moisture for dry to lightly draining wounds, in gauze, sheet, gel and tube formats.
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.
Hydrogel saturated gauze
Gauze saturated with hydrogel for dry to lightly exuding wounds.
Hydrogel saturated gauze: sizes and suggested HCPCS Size Suggested HCPCS 2×2 A6231 4×4 A6231 4×8 A6232 Hydrogel, silver
AgHydrogel with silver.
Hydrogel, silver: sizes and suggested HCPCS Size Suggested HCPCS 3 oz tube A6248 Honey hydrogel sheet
A hydrogel sheet with honey.
Honey hydrogel sheet: sizes and suggested HCPCS Size Suggested HCPCS 2.4×2.4 Confirm with billing 4.7×3.4 Confirm with billing Manuka honey gel
Medical-grade Manuka honey gel.
Manuka honey gel: sizes and suggested HCPCS Size Suggested HCPCS Single-use Confirm with billing 1.5 oz tube Confirm with billing Manuka honey dressing, light
A light Manuka honey dressing for low-exudate wounds.
Manuka honey dressing, light: sizes and suggested HCPCS Size Suggested HCPCS 2×2 Confirm with billing 4×5 Confirm with billing
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.
Honey products are coded by product — confirm the code assigned to the specific item. PCSS doesn't suggest a code for its honey products.
DME Supplier Manual, Appendix A (HCPCS descriptors)(opens in a new tab)Often chosen for
Hydrogels & honey: typical uses
- Dry to lightly draining wounds
- Adding moisture to the wound bed
- Gel formats for irregular wound beds
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
- Hydrogel A6242–A6244 (no border), A6245–A6247 (border), A6248 (gel, per fl oz) · hydrogel gauze A6231–A6233
- Change frequency (LCD L33831)
- Hydrogel covers without an adhesive border, and hydrogel fillers: up to once per day. Covers with a border: up to 3 times per week. No frequency is stated for hydrogel-impregnated gauze. Gel filler (A6248) is also capped at 3 fluid ounces per wound in 30 days.
- 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
Hydrogels & honey: common questions
Net-30 termsNo minimums to startStock orders in the wholesale portal
Which HCPCS codes apply to hydrogels?
Hydrogel wound covers use A6242–A6244 without a border and A6245–A6247 with one. Hydrogel filler gel is A6248, per fluid ounce, and hydrogel-impregnated gauze uses A6231–A6233. Honey products are coded by product — Policy Article A54563 codes fillers made predominantly of materials not recognized as effective as A9270 — so confirm the code assigned to the specific item.
How much hydrogel gel does Medicare allow?
Up to 3 fluid ounces per wound in 30 days for hydrogel filler gel (A6248), under LCD L33831.
Are silver and honey products treated differently?
LCD L33831 lists silver and honey among materials whose safety and effectiveness “have not been established.” Dressings are classified by their clinically predominant component, and one made predominantly of such materials isn't considered reasonable and necessary. Code each product by its PDAC listing and confirm with your billing staff; choose products on clinical judgment.
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
- Gauze, composites & filmThe daily workhorses: island dressings, composites, film and roll gauze.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