A6243 HCPCS Level II code: Hydrogel 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
A6243 is the HCPCS code for “Hydrogel 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” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
A6243Hydrogel 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
Short description: Hydrogel drg >16<=48 w/o bdr
HCPCS · United States
Medicare details
The indicators CMS publishes with A6243 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Special coverage instructions apply
- Medicare pricing
- DMEPOS fee schedule – Surgical dressings (price subject to floors and ceilings)
- Type of service
- Surgical dressings or other medical supplies
- BETOS category
- Medical/surgical supplies
- Added
- Jan 1, 1997
Where A6243 sits
- 1A codesAmbulance, supplies and miscellaneous
- 2Active code A6243Hydrogel 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
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code A6243 mean?
A6243 is the HCPCS code for “Hydrogel 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” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover A6243?
CMS lists A6243’s Medicare coverage as “Special coverage instructions apply” and its pricing as “DMEPOS fee schedule – Surgical dressings (price subject to floors and ceilings)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside A6243
All A codesA6237Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressingA6238Hydrocolloid 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 dressingA6239Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressingA6240Hydrocolloid dressing, wound filler, paste, sterile, per ounceA6241Hydrocolloid dressing, wound filler, dry form, sterile, per gramA6242Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressingA6244Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressingA6245Hydrogel dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressingA6246Hydrogel 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 dressingA6247Hydrogel dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressingA6248Hydrogel dressing, wound filler, gel, per fluid ounceA6250Skin sealants, protectants, moisturizers, ointments, any type, any size