A6455 HCPCS Level II code: Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard
A6455 is the HCPCS code for “Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
A6455Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard
Short description: Self-adher band >=5"/yd
HCPCS · United States
Medicare details
The indicators CMS publishes with A6455 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- 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, 2004
Where A6455 sits
- 1A codesAmbulance, supplies and miscellaneous
- 2Active code A6455Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard
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 A6455 mean?
A6455 is the HCPCS code for “Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to five inches, per yard” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover A6455?
CMS lists A6455’s Medicare coverage as “Carrier judgment” 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 A6455
All A codesA6449Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yardA6450Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yardA6451Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less…A6452High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches…A6453Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yardA6454Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yardA6456Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yardA6457Tubular dressing with or without elastic, any width, per linear yardA6460Synthetic resorbable wound dressing, sterile, pad size 16 sq. in. or less, without adhesive border, each dressingA6461Synthetic resorbable wound dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressingA6501Compression burn garment, bodysuit (head to foot), custom fabricatedA6502Compression burn garment, chin strap, custom fabricated