A6025 — Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each
A6025 is a HCPCS Level II code for gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each. It belongs to the Transportation, Medical & Surgical Supplies, Administrative section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
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 A6025 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
- 4 units MAI 3 — Date of Service Edit: Clinical · Clinical: Data
- DME supplier
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · Published Contractor Policy
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 A6025
- Long descriptor
- Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each
- Short descriptor
- Silicone gel sheet, each
- Added
- January 1, 1997
- BETOS
- D1A
- Pricing indicator
- 00 — Not priced by Part B
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.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to A6025
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If A6025 is not quite right, the correct code is very often within a few positions of it.
- 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
- A6011Collagen based wound filler, gel/paste, 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
- 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
- A6198Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq. in., each dressing
- A6199Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches
- A6203Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
- A6204Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
- A6205Composite dressing, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
Questions about A6025
What is HCPCS code A6025?
A6025 is a HCPCS Level II code for gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each. It sits in the Transportation, Medical & Surgical Supplies, Administrative section.
Does Medicare cover A6025?
The CMS HCPCS file marks A6025 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
How is A6025 paid under the physician fee schedule?
A6025 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.