HCPCS Code for Gauze, 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 A6217
HCPCS code A6217 for Gauze, 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 as maintained by CMS falls under Gauze Dressings .
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It's not covered - this is from their website:
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