A6236 — Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
HCPCS Level II A-code · short descriptor: “Hydrocolld drg > 48 in w/o b”
- Code system
- HCPCS Level II
- Family
- A — Medical & surgical supplies, ambulance
- Medicare coverage status
- Special coverage instructions apply
- DMEPOS payment category
- Surgical dressings
- 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.
A6236 Medicare fee schedule (April 2026)
Base (no modifier) Surgical dressings
Medicare allowable ranges from $38.83 to $46.58 depending on state and rural status.
Former-CBA payment limits: ceiling $38.83 · floor $33.01
| State | Non-rural | Rural |
|---|---|---|
| AK | $39.20 | — |
| AL | $38.83 | — |
| AR | $38.83 | — |
| AZ | $38.83 | — |
| CA | $38.83 | — |
| CO | $38.83 | — |
| CT | $38.83 | — |
| DC | $38.83 | — |
| DE | $38.83 | — |
| FL | $38.83 | — |
| GA | $38.83 | — |
| HI | $41.90 | — |
| IA | $38.83 | — |
| ID | $38.83 | — |
| IL | $38.83 | — |
| IN | $38.83 | — |
| KS | $38.83 | — |
| KY | $38.83 | — |
| LA | $38.83 | — |
| MA | $38.83 | — |
| MD | $38.83 | — |
| ME | $38.83 | — |
| MI | $38.83 | — |
| MN | $38.83 | — |
| MO | $38.83 | — |
| MS | $38.83 | — |
| MT | $38.83 | — |
| NC | $38.83 | — |
| ND | $38.83 | — |
| NE | $38.83 | — |
| NH | $38.83 | — |
| NJ | $38.83 | — |
| NM | $38.83 | — |
| NV | $38.83 | — |
| NY | $38.83 | — |
| OH | $38.83 | — |
| OK | $38.83 | — |
| OR | $38.83 | — |
| PA | $38.83 | — |
| PR | $46.58 | — |
| RI | $38.83 | — |
| SC | $38.83 | — |
| SD | $38.83 | — |
| TN | $38.83 | — |
| TX | $38.83 | — |
| UT | $38.83 | — |
| VA | $38.83 | — |
| VI | $38.83 | — |
| VT | $38.83 | — |
| WA | $38.83 | — |
| WI | $38.83 | — |
| WV | $38.83 | — |
| WY | $38.83 | — |
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026.
Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%.
A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area
adjustments and non-continental rates can differ — verify with your DME MAC.
Common denial codes to watch
Related A-codes
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