A6011 — Collagen based wound filler, gel/paste, per gram of collagen
A6011 is a HCPCS Level II code for collagen based wound filler, gel/paste, per gram of collagen. It belongs to the Transportation, Medical & Surgical Supplies, Administrative section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusX
Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
Medically Unlikely Edits — units per day
The most units of A6011 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- outpatient
- 20 units MAI 3 — Date of Service Edit: Clinical · Clinical: Data
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for A6011
- Long descriptor
- Collagen based wound filler, gel/paste, per gram of collagen
- Short descriptor
- Collagen gel/paste wound fil
- Added
- January 1, 2003
- BETOS
- D1A
- Pricing indicator
- 35 — DMEPOS
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Surgical dressings. Price subject to floors and ceilings.
Codes adjacent to A6011
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If A6011 is not quite right, the correct code is very often within a few positions of it.
- A5507For diabetics only, not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe
- A5508For diabetics only, deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe, per shoe
- A5510For diabetics only, direct formed, compression molded to patient's foot without external heat source, multiple-density insert(s) prefabricated, per shoe
- A5512For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each
- A5513For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each
- A5514For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each
- A6000Non-contact wound warming wound cover for use with the non-contact wound warming device and warming card
- A6010Collagen based wound filler, dry form, sterile, per gram of collagen
- A6021Collagen dressing, sterile, size 16 sq. in. or less, each
- A6022Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each
- A6023Collagen dressing, sterile, size more than 48 sq. in., each
- A6024Collagen dressing wound filler, sterile, per 6 inches
- A6025Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each
- A6154Wound pouch, each
- A6196Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing
- A6197Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing
Questions about A6011
What is HCPCS code A6011?
A6011 is a HCPCS Level II code for collagen based wound filler, gel/paste, per gram of collagen. It sits in the Transportation, Medical & Surgical Supplies, Administrative section.
Does Medicare cover A6011?
The CMS HCPCS file marks A6011 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
How is A6011 paid under the physician fee schedule?
A6011 carries PFS status code X. Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.