A6255 — Specialty 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
HCPCS Level II A-code · short descriptor: “Absorpt drg >16<=48 in w/bdr”
- 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.
A6255 Medicare fee schedule (April 2026)
Base (no modifier) Surgical dressings
Medicare allowable ranges from $4.34 to $5.14 depending on state and rural status.
Former-CBA payment limits: ceiling $4.34 · floor $3.69
| State | Non-rural | Rural |
|---|---|---|
| AK | $4.38 | — |
| AL | $4.34 | — |
| AR | $4.34 | — |
| AZ | $4.34 | — |
| CA | $4.34 | — |
| CO | $4.34 | — |
| CT | $4.34 | — |
| DC | $4.34 | — |
| DE | $4.34 | — |
| FL | $4.34 | — |
| GA | $4.34 | — |
| HI | $4.64 | — |
| IA | $4.34 | — |
| ID | $4.34 | — |
| IL | $4.34 | — |
| IN | $4.34 | — |
| KS | $4.34 | — |
| KY | $4.34 | — |
| LA | $4.34 | — |
| MA | $4.34 | — |
| MD | $4.34 | — |
| ME | $4.34 | — |
| MI | $4.34 | — |
| MN | $4.34 | — |
| MO | $4.34 | — |
| MS | $4.34 | — |
| MT | $4.34 | — |
| NC | $4.34 | — |
| ND | $4.34 | — |
| NE | $4.34 | — |
| NH | $4.34 | — |
| NJ | $4.34 | — |
| NM | $4.34 | — |
| NV | $4.34 | — |
| NY | $4.34 | — |
| OH | $4.34 | — |
| OK | $4.34 | — |
| OR | $4.34 | — |
| PA | $4.34 | — |
| PR | $5.14 | — |
| RI | $4.34 | — |
| SC | $4.34 | — |
| SD | $4.34 | — |
| TN | $4.34 | — |
| TX | $4.34 | — |
| UT | $4.34 | — |
| VA | $4.34 | — |
| VI | $4.34 | — |
| VT | $4.34 | — |
| WA | $4.34 | — |
| WI | $4.34 | — |
| WV | $4.34 | — |
| WY | $4.34 | — |
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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