A6404 Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
Short descriptor: Sterile gauze > 48 sq in
Look up A6404 alongside ICD-10-CM diagnoses, the HCPCS Table of Drugs, and the AI coding assistant.
A6404 is the HCPCS Level II code for Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adhesive border, each dressing (2026). It belongs to Section A — Transportation, Medical & Surgical Supplies. Under Medicare, its coverage status is: Special coverage instructions apply. Part B pricing methodology: Surgical dressings.
Classification & CMS Attributes
- Medicare Coverage
- Special coverage instructions apply (code D)
- Part B Pricing
- Surgical dressings (indicator 35)
- Type of Service
- Surgical dressings or other medical supplies
- Effective Date
- 2003-01-01
- 2026 Maintenance
- No change this year
References
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A6404 — Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adhesive border, each dressing. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/A6404
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