HCPCS Range Foam Dressings

• 1 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ( A6209 )

• 2 Foam 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 ( A6210 )

• 3 Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ( A6211 )

• 4 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ( A6212 )

• 5 Foam 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 ( A6213 )

• 6 Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing ( A6214 )

• 7 Foam dressing, wound filler, sterile, per gram ( A6215 )