A6254

A6254 — Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing

Q: What is HCPCS code A6254?

A6254 is a HCPCS Level II code for specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing. It sits in the Transportation, Medical & Surgical Supplies, Administrative section.

Q: Does Medicare cover A6254?

The CMS HCPCS file marks A6254 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.

Q: How is A6254 paid under the physician fee schedule?

A6254 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.

HCPCSActiveBETOS D1A

A6254 is a HCPCS Level II code for specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, 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 A6254 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

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 A6254

Long descriptor: Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
Short descriptor: Absorpt drg <=16 sq in w/bdr
Added: January 1, 1997
BETOS: D1A
Pricing indicator: 35 — DMEPOS

Codes adjacent to A6254

HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If A6254 is not quite right, the correct code is very often within a few positions of it.

A6245Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
A6246Hydrogel 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
A6247Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
A6248Hydrogel dressing, wound filler, gel, per fluid ounce
A6250Skin sealants, protectants, moisturizers, ointments, any type, any size
A6251Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
A6252Specialty absorptive 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
A6253Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
A6255Specialty absorptive 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
A6256Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
A6257Transparent film, sterile, 16 sq. in. or less, each dressing
A6258Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing
A6259Transparent film, sterile, more than 48 sq. in., each dressing
A6260Wound cleansers, any type, any size
A6261Wound filler, gel/paste, per fluid ounce, not otherwise specified
A6262Wound filler, dry form, per gram, not otherwise specified

Questions about A6254

What is HCPCS code A6254?

A6254 is a HCPCS Level II code for specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing. It sits in the Transportation, Medical & Surgical Supplies, Administrative section.

Does Medicare cover A6254?

The CMS HCPCS file marks A6254 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 A6254 paid under the physician fee schedule?

A6254 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.