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
Non-adherent and impregnated gauze dressings
Impregnated, non-adherent layers sit against the wound and lift cleanly at each change. PCSS carries bismuth petrolatum gauze with 3% bismuth tribromophenate, a petrolatum dressing and an oil emulsion dressing.
Illustration, not the exact productAt a glance
- 3 product lines, 5 sizes
- Medicare: Up to once per day
- Net-30 terms, no minimums to start
What we carry
Lines, sizes and suggested HCPCS.
Petrolatum, bismuth and oil-emulsion layers that lift cleanly at each change.
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.
Bismuth petrolatum gauze
Petrolatum gauze with 3% bismuth tribromophenate.
Bismuth petrolatum gauze: sizes and suggested HCPCS Size Suggested HCPCS 2×2 A6222 4×4 A6222 5×9 A6223 Petrolatum dressing
Petrolatum-impregnated non-adherent layer.
Petrolatum dressing: sizes and suggested HCPCS Size Suggested HCPCS 3×9 A6223 Oil emulsion dressing
A non-adherent oil-emulsion layer.
Oil emulsion dressing: sizes and suggested HCPCS Size Suggested HCPCS 3×3 A6222
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
Non-adherent layers: typical uses
- A contact layer that lifts cleanly
- Excision and Mohs sites
- Use under a secondary absorbent dressing
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
- A6222–A6224 (impregnated gauze, without border)
- Change frequency (LCD L33831)
- Up to once per day.
- 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
Non-adherent layers: common questions
Net-30 termsNo minimums to startStock orders in the wholesale portal
Which HCPCS codes apply?
Impregnated gauze without an adhesive border is coded A6222–A6224 by pad size. Confirm final coding with your billing staff.
How often can they be changed under Medicare?
Up to once per day, 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
- Gauze, composites & filmThe daily workhorses: island dressings, composites, film and roll gauze.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