A6011 HCPCS code: Collagen based wound filler, gel/paste, per gram of collagen
A6011 is the HCPCS Level II code for collagen based wound filler, gel/paste, per gram of collagen. The 2026 Medicare DMEPOS fee schedule pays $3.25 to $3.91 depending on the state. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 20 per day on outpatient hospital claims. Medicare volume fell 72% from 2022 to 2024 (89,077 to 24,551 services). In 2024, 59 suppliers billed Medicare for A6011 (purchases), serving 570 beneficiaries; New York, Texas, Missouri accounted for 31% of services. Its average fee ranks 1 of 6 A60 codes (family range $3.26–$272.24).
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 35 — DMEPOS: surgical dressings |
| BETOS category | D1A — Medical/surgical supplies |
| Added | 2003-01-01 |
| Last action effective | 2011-01-01 |
2026 Medicare DMEPOS fee schedule for A6011
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $3.25 | $3.91 | $3.25 | $2.76 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $3.25 | — |
| AL | — | $3.25 | — |
| AR | — | $3.25 | — |
| AZ | — | $3.25 | — |
| CA | — | $3.25 | — |
| CO | — | $3.25 | — |
| CT | — | $3.25 | — |
| DC | — | $3.25 | — |
| DE | — | $3.25 | — |
| FL | — | $3.25 | — |
| GA | — | $3.25 | — |
| HI | — | $3.25 | — |
| IA | — | $3.25 | — |
| ID | — | $3.25 | — |
| IL | — | $3.25 | — |
| IN | — | $3.25 | — |
| KS | — | $3.25 | — |
| KY | — | $3.25 | — |
| LA | — | $3.25 | — |
| MA | — | $3.25 | — |
| MD | — | $3.25 | — |
| ME | — | $3.25 | — |
| MI | — | $3.25 | — |
| MN | — | $3.25 | — |
| MO | — | $3.25 | — |
| MS | — | $3.25 | — |
| MT | — | $3.25 | — |
| NC | — | $3.25 | — |
| ND | — | $3.25 | — |
| NE | — | $3.25 | — |
| NH | — | $3.25 | — |
| NJ | — | $3.25 | — |
| NM | — | $3.25 | — |
| NV | — | $3.25 | — |
| NY | — | $3.25 | — |
| OH | — | $3.25 | — |
| OK | — | $3.25 | — |
| OR | — | $3.25 | — |
| PA | — | $3.25 | — |
| PR | — | $3.91 | — |
| RI | — | $3.25 | — |
| SC | — | $3.25 | — |
| SD | — | $3.25 | — |
| TN | — | $3.25 | — |
| TX | — | $3.25 | — |
| UT | — | $3.25 | — |
| VA | — | $3.25 | — |
| VI | — | $3.25 | — |
| VT | — | $3.25 | — |
| WA | — | $3.25 | — |
| WI | — | $3.25 | — |
| WV | — | $3.25 | — |
| WY | — | $3.25 | — |
How the A6011 fee compares
| Measure | Value |
|---|---|
| Rank among 6 A60 codes (lowest = 1) | 1 |
| Family fee range (average of state fees) | $3.26–$272.24 |
| Rural fee uplift | — |
Who bills A6011 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 59 |
| Referring clinicians | 319 |
| Medicare beneficiaries | 570 |
| States with claims | 22 |
| Share of services in top 3 states (New York, Texas, Missouri) | 31% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 43 | 1,517 |
| 2023 | 46 | 1,725 |
| 2024 | 59 | 570 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for A6011, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 89,077 | 1,517 | $2.80 | $2.19 |
| 2023 | 79,831 | 1,725 | $3.04 | $2.34 |
| 2024 | 24,551 | 570 | $3.10 | $2.32 |
States with the most A6011 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| New York | 2,810 | $2.45 |
| Texas | 2,232 | $2.29 |
| Missouri | 1,668 | $2.38 |
| Florida | 1,491 | $2.38 |
| Georgia | 1,410 | $2.34 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 20 | Clinical: Data |
Medicare policy articles for this code
- A54563: Surgical Dressings - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
What changed for A6011
- 2026-01-01: Average state fee rose 1.9%: $3.20 to $3.26
- 2003-01-01: A6011 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 A6011?
A6011 is the HCPCS Level II code for collagen based wound filler, gel/paste, per gram of collagen. Short descriptor: "Collagen gel/paste wound fil".
How much does Medicare pay for A6011?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $3.25–$3.91. Rural fees can be higher.
Does Medicare cover A6011?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for A6011 change in 2026?
The average non-rural state fee moved from $3.20 in 2025 to $3.26 in 2026 (+1.9%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of A6011 can be billed per day?
20 on outpatient hospital claims (NCCI medically unlikely edits).
Related A60 codes
- A6000 — Non-contact wound warming wound cover for use with the non-contact wound warming device and warming card
- A6010 — Collagen based wound filler, dry form, sterile, per gram of collagen ($44.14–$53.00)
- A6021 — Collagen dressing, sterile, size 16 sq. in. or less, each ($29.97–$35.93)
- A6022 — Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each ($29.97–$35.93)
- A6023 — Collagen dressing, sterile, size more than 48 sq. in., each ($271.22–$325.48)
- A6024 — Collagen dressing wound filler, sterile, per 6 inches ($8.81–$10.56)
- A6025 — Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under A6011
- Watch A6011 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A6011
Sources: CMS HCPCS Level II release October 2025; 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.