A6212 HCPCS code: Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing

A6212 is the HCPCS Level II code for foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing. The 2026 Medicare DMEPOS fee schedule pays $13.84 to $16.61 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 fell 26% from 2022 to 2024 (1,634,274 to 1,213,204 services). In 2024, 817 suppliers billed Medicare for A6212 (purchases), serving 50,301 beneficiaries; California, Florida, New York accounted for 33% of services. Its average fee ranks 27 of 41 A62 codes (family range $0.05–$56.30).

Code details

2026 Medicare DMEPOS fee schedule for A6212

How the A6212 fee compares

Who bills A6212 (2024)

Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.

Medicare utilization for A6212, 2022–2024

States with the most A6212 services (2024)

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 A6212

• 2026-01-01: Average state fee rose 2.0%: $13.64 to $13.91
• 1997-01-01: A6212 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 A6212?

A6212 is the HCPCS Level II code for foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing. Short descriptor: "Foam drg <=16 sq in w/border".

How much does Medicare pay for A6212?

Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $13.84–$16.61. Rural fees can be higher.

Does Medicare cover A6212?

Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.

Did the Medicare fee for A6212 change in 2026?

The average non-rural state fee moved from $13.64 in 2025 to $13.91 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

Related A62 codes

• A6203 — Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ($4.80–$5.70)
• A6204 — Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing ($8.86–$10.62)
• A6205 — Composite dressing, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
• A6206 — Contact layer, sterile, 16 sq. in. or less, each dressing
• A6207 — Contact layer, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing ($10.47–$12.56)
• A6208 — Contact layer, sterile, more than 48 sq. in., each dressing
• A6209 — Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ($10.65–$12.82)
• A6210 — Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing ($28.40–$34.06)
• A6211 — Foam dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing ($41.86–$50.18)
• A6213 — Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
• A6214 — Foam dressing, wound cover, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing ($14.68–$17.62)
• A6215 — Foam dressing, wound filler, sterile, per gram

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Next steps

• Run a reimbursement report for a device billed under A6212
• Watch A6212 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for A6212

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.

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