A4463 HCPCS code: Surgical dressing holder, reusable, each
A4463 is the HCPCS Level II code for surgical dressing holder, reusable, each. The 2026 Medicare DMEPOS fee schedule pays $18.97 to $20.88 depending on the state. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 3 per day on DME suppliers. Medicare volume rose 312% from 2022 to 2024 (16 to 66 services). In 2024, 6 suppliers billed Medicare for A4463 (purchases), serving 52 beneficiaries. Its average fee ranks 38 of 42 A44 codes (family range $0.15–$160.42).
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 35 — DMEPOS: surgical dressings |
| BETOS category | D1A — Medical/surgical supplies |
| Added | 2007-01-01 |
| Last action effective | 2007-01-01 |
2026 Medicare DMEPOS fee schedule for A4463
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $18.97 | $20.88 | $18.97 | $16.12 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $18.97 | — |
| AL | — | $18.97 | — |
| AR | — | $18.97 | — |
| AZ | — | $18.97 | — |
| CA | — | $18.97 | — |
| CO | — | $18.97 | — |
| CT | — | $18.97 | — |
| DC | — | $18.97 | — |
| DE | — | $18.97 | — |
| FL | — | $18.97 | — |
| GA | — | $18.97 | — |
| HI | — | $18.97 | — |
| IA | — | $18.97 | — |
| ID | — | $18.97 | — |
| IL | — | $18.97 | — |
| IN | — | $18.97 | — |
| KS | — | $18.97 | — |
| KY | — | $18.97 | — |
| LA | — | $18.97 | — |
| MA | — | $18.97 | — |
| MD | — | $18.97 | — |
| ME | — | $18.97 | — |
| MI | — | $18.97 | — |
| MN | — | $18.97 | — |
| MO | — | $18.97 | — |
| MS | — | $18.97 | — |
| MT | — | $18.97 | — |
| NC | — | $18.97 | — |
| ND | — | $18.97 | — |
| NE | — | $18.97 | — |
| NH | — | $18.97 | — |
| NJ | — | $18.97 | — |
| NM | — | $18.97 | — |
| NV | — | $18.97 | — |
| NY | — | $18.97 | — |
| OH | — | $18.97 | — |
| OK | — | $18.97 | — |
| OR | — | $18.97 | — |
| PA | — | $18.97 | — |
| PR | — | $20.88 | — |
| RI | — | $18.97 | — |
| SC | — | $18.97 | — |
| SD | — | $18.97 | — |
| TN | — | $18.97 | — |
| TX | — | $18.97 | — |
| UT | — | $18.97 | — |
| VA | — | $18.97 | — |
| VI | — | $18.97 | — |
| VT | — | $18.97 | — |
| WA | — | $18.97 | — |
| WI | — | $18.97 | — |
| WV | — | $18.97 | — |
| WY | — | $18.97 | — |
How the A4463 fee compares
| Measure | Value |
|---|---|
| Rank among 42 A44 codes (lowest = 1) | 38 |
| Family fee range (average of state fees) | $0.15–$160.42 |
| Rural fee uplift | — |
Who bills A4463 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 6 |
| Referring clinicians | 21 |
| Medicare beneficiaries | 52 |
| States with claims | 1 |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 3 | 14 |
| 2023 | 6 | 37 |
| 2024 | 6 | 52 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for A4463, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 16 | 14 | $16.28 | $12.80 |
| 2023 | 44 | 37 | $17.70 | $13.65 |
| 2024 | 66 | 52 | $18.15 | $14.02 |
States with the most A4463 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Hawaii | 33 | $14.24 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 3 | Clinical: Data |
| outpatient hospital claims | 2 | Clinical: Data |
What changed for A4463
- 2026-01-01: Average state fee rose 2.0%: $18.64 to $19.01
- 2007-01-01: A4463 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code A4463?
A4463 is the HCPCS Level II code for surgical dressing holder, reusable, each. Short descriptor: "Surgical dress holder reuse".
How much does Medicare pay for A4463?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $18.97–$20.88. Rural fees can be higher.
Does Medicare cover A4463?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for A4463 change in 2026?
The average non-rural state fee moved from $18.64 in 2025 to $19.01 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of A4463 can be billed per day?
3 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related A44 codes
- A4400 — Ostomy irrigation set ($59.20–$90.97)
- A4402 — Lubricant, per ounce ($1.93–$5.70)
- A4404 — Ostomy ring, each ($2.03–$2.60)
- A4405 — Ostomy skin barrier, non-pectin based, paste, per ounce ($4.87–$5.76)
- A4406 — Ostomy skin barrier, pectin-based, paste, per ounce ($8.16–$9.78)
- A4407 — Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each ($12.48–$14.94)
- A4408 — Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, with built-in convexity, larger than 4 x 4 inches, each ($14.07–$16.87)
- A4409 — Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each ($8.84–$10.60)
- A4410 — Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each ($12.88–$15.43)
- A4411 — Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, with built-in convexity, each ($7.26–$8.70)
- A4412 — Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), without filter, each ($3.86–$4.56)
- A4413 — Ostomy pouch, drainable, high output, for use on a barrier with flange (2 piece system), with filter, each ($7.85–$9.44)
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Next steps
- Run a reimbursement report for a device billed under A4463
- Watch A4463 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A4463
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.