A6404 HCPCS Level II code: Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
A6404 is the HCPCS code for “Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adhesive border, each dressing” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
A6404Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
Short description: Sterile gauze > 48 sq in
HCPCS · United States
Medicare details
The indicators CMS publishes with A6404 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 A6404 sits
- 1A codesAmbulance, supplies and miscellaneous
- 2Active code A6404Gauze, non-impregnated, sterile, pad size more than 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 A6404 mean?
A6404 is the HCPCS code for “Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adhesive border, each dressing” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover A6404?
CMS lists A6404’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 A6404
All A codesA6260Wound cleansers, any type, any sizeA6261Wound filler, gel/paste, per fluid ounce, not otherwise specifiedA6262Wound filler, dry form, per gram, not otherwise specifiedA6266Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yardA6402Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressingA6403Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressingA6407Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yardA6410Eye pad, sterile, eachA6411Eye pad, non-sterile, eachA6412Eye patch, occlusive, eachA6413Adhesive bandage, first-aid type, any size, eachA6441Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard