A4928 Surgical mask, per 20

Short descriptor: Surgical mask

✓ Active HCPCS Level II 2026
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A4928 is the HCPCS Level II code for Surgical mask, per 20 (2026). It belongs to Section A — Transportation, Medical & Surgical Supplies. Under Medicare, its coverage status is: Special coverage instructions apply. Part B pricing methodology: Not separately priced by Part B.

Classification & CMS Attributes

Medicare Coverage
Special coverage instructions apply (code D)
Part B Pricing
Not separately priced by Part B (indicator 00)
Type of Service
ESRD supplies
Effective Date
2015-01-01
2026 Maintenance
No change this year

References

Cite This Page

Reference A4928 with the canonical source and edition:

A4928 — Surgical mask, per 20. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/A4928

Canonical URL: https://icd10codingpro.com/hcpcs-codes/A4928

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Reviewed by Prajwal Shrestha, CPC, CRC
Certified Professional Coder (CPC) and Certified Risk Adjustment Coder (CRC) · AAPC Member ID 01997614 · About · Editorial policy · Content last reviewed: 2026-01-01

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