A6213 HCPCS code: 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
A6213 is the HCPCS Level II code for 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. In 2024 Medicare paid an average of $12.09 per service for A6213 across 67,172 services. 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 33% from 2022 to 2024 (99,955 to 67,172 services). In 2024, 237 suppliers billed Medicare for A6213 (purchases), serving 3,265 beneficiaries; California, New York, Florida accounted for 33% of services.
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 46 — Priced by the Medicare contractor (no national fee) |
| BETOS category | D1A — Medical/surgical supplies |
| Added | 1997-01-01 |
| Last action effective | 2009-01-01 |
Who bills A6213 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 237 |
| Referring clinicians | 2,394 |
| Medicare beneficiaries | 3,265 |
| States with claims | 44 |
| Share of services in top 3 states (California, New York, Florida) | 33% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 300 | 4,352 |
| 2023 | 290 | 3,496 |
| 2024 | 237 | 3,265 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for A6213, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 99,955 | 4,352 | $12.39 | $9.62 |
| 2023 | 74,494 | 3,496 | $14.46 | $11.14 |
| 2024 | 67,172 | 3,265 | $15.64 | $12.09 |
States with the most A6213 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 11,477 | $13.62 |
| New York | 5,375 | $10.53 |
| Florida | 5,341 | $11.19 |
| Illinois | 3,598 | $9.77 |
| Minnesota | 3,190 | $10.51 |
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 A6213
- 1997-01-01: A6213 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 A6213?
A6213 is the HCPCS Level II code for 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. Short descriptor: "Foam drg >16<=48 sq in w/bdr".
How much does Medicare pay for A6213?
In 2024, the average Medicare payment was $12.09 per service (average allowed $15.64).
Does Medicare cover A6213?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
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)
- A6212 — Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing ($13.84–$16.61)
- 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
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 A6213
- Watch A6213 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A6213
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; 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.