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A6230 — Gauze, impregnated, water or normal saline, sterile, pad size more than 48 sq. in., without adhesive border, each dressing

HCPCS Level II A-code · short descriptor: “Gauze > 48 sq in water/salne”

Code system
HCPCS Level II
Family
A — Medical & surgical supplies, ambulance
Medicare coverage status
Special coverage instructions apply
Prior authorization
Not on Medicare required-PA list
Status
Active (April 2026 HCPCS)

Prior authorization

Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

Common denial codes to watch

CO-50 medical necessity

Related A-codes

A6203A6204A6205A6206A6207A6208A6209A6210A6211A6212A6213A6214

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