HCPCS Level II Definitions and Guidelines - OptumCoding.com

Coding and Payment Guide for the Physical TherapistHCPCS Level II Definitions and GuidelinesA6250Skin sealants, protectants, moisturizers, ointments,any type, any sizeA6407Packing strips, non-impregnated, sterile, up to twoinches in width, per linear yardA6251A6252A6253MED: Pub. 100-2, Chapter 15, Section 100Specialty absorptive dressing, wound cover, sterile,pad size 16 sq in or less, without adhesive border,each dressingMED: Pub. 100-2, Chapter 15, Section 100Specialty absorptive dressing, wound cover, sterile,pad size more than 16 sq in but less than or equal to48 sq in, without adhesive border, each dressingMED: Pub. 100-2, Chapter 15, Section 100Specialty absorptive dressing, wound cover, sterile,pad size more than 48 sq in, without adhesiveborder, each dressingMED: Pub. 100-2, Chapter 15, Section 100A6441A6442A6443A6444A6445Padding bandage, non-elastic,non-woven/non-knitted, width greater than orequal to three inches and less than five inches, peryardConforming bandage, non-elastic, knitted/woven,non-sterile, width less than three inches, per yardConforming bandage, non-elastic, knitted/woven,non-sterile, width greater than or equal to threeinches and less than five inches, per yardConforming bandage, non-elastic, knitted/woven,non-sterile, width greater than or equal to fiveinches, per yardConforming bandage, non-elastic, knitted/woven,sterile, width less than three inches, per yardA6254Specialty absorptive dressing, wound cover, sterile,pad size 16 sq in or less, with any size adhesiveborder, each dressingA6446Conforming bandage, non-elastic, knitted/woven,sterile, width greater than or equal to three inchesand less than five inches, per yardA6255A6256A6257A6258A6259A6266A6402A6403A6404MED: Pub. 100-2, Chapter 15, Section 100Specialty absorptive dressing, wound cover, sterile,pad size more than 16 sq in but less than or equal to48 sq in, with any size adhesive border, eachdressingMED: Pub. 100-2, Chapter 15, Section 100Specialty absorptive dressing, wound cover, sterile,pad size more than 48 sq in, with any size adhesiveborder, each dressingMED: Pub. 100-2, Chapter 15, Section 100Transparent film, sterile, 16 sq in or less, eachdressingMED: Pub. 100-2, Chapter 15, Section 100Transparent film, sterile, more than 16 sq in but lessthan or equal to 48 sq in, each dressingMED: Pub. 100-2, Chapter 15, Section 100Transparent film, sterile, more than 48 sq in, eachdressingMED: Pub. 100-2, Chapter 15, Section 100Gauze, impregnated, other than water, normalsaline, or zinc paste, sterile, any width, per linearyardMED: Pub. 100-2, Chapter 15, Section 100Gauze, non-impregnated, sterile, pad size 16 sq inor less, without adhesive border, each dressingMED: Pub. 100-2, Chapter 15, Section 100Gauze, non-impregnated, sterile, pad size morethan 16 sq in less than or equal to 48 sq in, withoutadhesive border, each dressingGauze, non-impregnated, sterile, pad size morethan 48 sq in, without adhesive border, eachdressingA6447A6448A6449A6450A6451A6452A6453A6454A6455A6456A6457Conforming bandage, non-elastic, knitted/woven,sterile, width greater than or equal to five inches,per yardLight compression bandage, elastic, knitted/woven,width less than three inches, per yardLight compression bandage, elastic, knitted/woven,width greater than or equal to three inches and lessthan five inches, per yardLight compression bandage, elastic, knitted/woven,width greater than or equal to five inches, per yardModerate compression bandage, elastic,knitted/woven, load resistance of 1.25 to 1.34 footpounds at 50 percent maximum stretch, widthgreater than or equal to three inches and less thanfive inches, per yardHigh compression bandage, elastic, knitted/woven,load resistance greater than or equal to 1.35 footpounds at 50 percent maximum stretch, widthgreater than or equal to three inches and less thanfive inches, per yardSelf-adherent bandage, elastic,non-knitted/non-woven, width less than threeinches, per yardSelf-adherent bandage, elastic,non-knitted/non-woven, width greater than orequal to three inches and less than five inches, peryardSelf-adherent bandage, elastic,non-knitted/non-woven, width greater than orequal to five inches, per yardZinc paste impregnated bandage, non-elastic,knitted/woven, width greater than or equal to threeinches and less than five inches, per yardTubular dressing with or without elastic, any width,per linear yard© 2010 Ingenix ● New Codes ▲ Revised Codes MED: Medicare Reference 7