A6023 HCPCS code: Collagen dressing, sterile, size more than 48 sq. in., each
A6023 is the HCPCS Level II code for collagen dressing, sterile, size more than 48 sq. in., each. The 2026 Medicare DMEPOS fee schedule pays $271.22 to $325.48 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. Medicare volume rose 144% from 2022 to 2024 (202,553 to 494,789 services). In 2024, 424 suppliers billed Medicare for A6023 (purchases), serving 18,790 beneficiaries; Florida, Texas, California accounted for 54% of services. Its average fee ranks 6 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 | 2001-01-01 |
| Last action effective | 2013-01-01 |
2026 Medicare DMEPOS fee schedule for A6023
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $271.22 | $325.48 | $271.22 | $230.54 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $271.22 | — |
| AL | — | $271.22 | — |
| AR | — | $271.22 | — |
| AZ | — | $271.22 | — |
| CA | — | $271.22 | — |
| CO | — | $271.22 | — |
| CT | — | $271.22 | — |
| DC | — | $271.22 | — |
| DE | — | $271.22 | — |
| FL | — | $271.22 | — |
| GA | — | $271.22 | — |
| HI | — | $271.22 | — |
| IA | — | $271.22 | — |
| ID | — | $271.22 | — |
| IL | — | $271.22 | — |
| IN | — | $271.22 | — |
| KS | — | $271.22 | — |
| KY | — | $271.22 | — |
| LA | — | $271.22 | — |
| MA | — | $271.22 | — |
| MD | — | $271.22 | — |
| ME | — | $271.22 | — |
| MI | — | $271.22 | — |
| MN | — | $271.22 | — |
| MO | — | $271.22 | — |
| MS | — | $271.22 | — |
| MT | — | $271.22 | — |
| NC | — | $271.22 | — |
| ND | — | $271.22 | — |
| NE | — | $271.22 | — |
| NH | — | $271.22 | — |
| NJ | — | $271.22 | — |
| NM | — | $271.22 | — |
| NV | — | $271.22 | — |
| NY | — | $271.22 | — |
| OH | — | $271.22 | — |
| OK | — | $271.22 | — |
| OR | — | $271.22 | — |
| PA | — | $271.22 | — |
| PR | — | $325.48 | — |
| RI | — | $271.22 | — |
| SC | — | $271.22 | — |
| SD | — | $271.22 | — |
| TN | — | $271.22 | — |
| TX | — | $271.22 | — |
| UT | — | $271.22 | — |
| VA | — | $271.22 | — |
| VI | — | $271.22 | — |
| VT | — | $271.22 | — |
| WA | — | $271.22 | — |
| WI | — | $271.22 | — |
| WV | — | $271.22 | — |
| WY | — | $271.22 | — |
How the A6023 fee compares
| Measure | Value |
|---|---|
| Rank among 6 A60 codes (lowest = 1) | 6 |
| Family fee range (average of state fees) | $3.26–$272.24 |
| Rural fee uplift | — |
Who bills A6023 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 424 |
| Referring clinicians | 2,789 |
| Medicare beneficiaries | 18,790 |
| States with claims | 41 |
| Share of services in top 3 states (Florida, Texas, California) | 54% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 139 | 6,287 |
| 2023 | 255 | 9,244 |
| 2024 | 424 | 18,790 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for A6023, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 202,553 | 6,287 | $230.54 | $181.74 |
| 2023 | 314,985 | 9,244 | $248.90 | $194.96 |
| 2024 | 494,789 | 18,790 | $251.24 | $196.63 |
States with the most A6023 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 135,887 | $181.02 |
| Texas | 69,781 | $202.28 |
| California | 63,207 | $203.34 |
| Arizona | 23,389 | $202.72 |
| Illinois | 18,531 | $202.90 |
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 A6023
- 2026-01-01: Average state fee rose 2.0%: $266.90 to $272.24
- 2001-01-01: A6023 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 A6023?
A6023 is the HCPCS Level II code for collagen dressing, sterile, size more than 48 sq. in., each. Short descriptor: "Collagen dressing >48 sq in".
How much does Medicare pay for A6023?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $271.22–$325.48. Rural fees can be higher.
Does Medicare cover A6023?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for A6023 change in 2026?
The average non-rural state fee moved from $266.90 in 2025 to $272.24 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
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)
- A6011 — Collagen based wound filler, gel/paste, per gram of collagen ($3.25–$3.91)
- 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)
- 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 A6023
- Watch A6023 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A6023
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.