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A6213

A6213 — Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing

HCPCSActiveBETOS D1A

A6213 is a HCPCS Level II code for foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing. 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 statusP

Bundled or excluded. No RVUs and no payment: either bundled into another service or paid under a different provision of the Act.

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 A6213 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

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 A6213

Long descriptor
Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing

The official wording. This is what the code means.

Short descriptor
Foam drg >16<=48 sq in w/bdr

CMS's 28-character form, which is what shows up on a remittance advice.

Added
January 1, 1997

When CMS introduced the code.

BETOS
D1A

Berenson-Eggers Type of Service — CMS's own analytic grouping.

Pricing indicator
46 — DMEPOS

Carrier priced — not otherwise classified, individual determination, carrier discretion, or gap-filled amounts.

Codes adjacent to A6213

HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If A6213 is not quite right, the correct code is very often within a few positions of it.

  • A6205Composite dressing, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
  • A6206Contact layer, sterile, 16 sq. in. or less, each dressing
  • A6207Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing
  • A6208Contact layer, sterile, more than 48 sq. in., each dressing
  • A6209Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
  • A6210Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
  • A6211Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
  • A6212Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
  • A6214Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
  • A6215Foam dressing, wound filler, sterile, per gram
  • A6216Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
  • A6217Gauze, non-impregnated, non-sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing
  • A6218Gauze, non-impregnated, non-sterile, pad size more than 48 sq. in., without adhesive border, each dressing
  • A6219Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
  • A6220Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
  • A6221Gauze, non-impregnated, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing

Questions about A6213

What is HCPCS code A6213?

A6213 is a HCPCS Level II code for foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing. It sits in the Transportation, Medical & Surgical Supplies, Administrative section.

Does Medicare cover A6213?

The CMS HCPCS file marks A6213 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 A6213 paid under the physician fee schedule?

A6213 carries PFS status code P. Bundled or excluded. No RVUs and no payment: either bundled into another service or paid under a different provision of the Act.

HCPCS Level II2026Q3-Jul· effective July 1, 2026