A6215 HCPCS code: Foam dressing, wound filler, sterile, per gram
A6215 is the HCPCS Level II code for foam dressing, wound filler, sterile, per gram. In 2024 Medicare paid an average of $4.99 per service for A6215 across 6,720 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 rose 97% from 2022 to 2024 (3,419 to 6,720 services). In 2024, 32 suppliers billed Medicare for A6215 (purchases), serving 202 beneficiaries; Missouri, Tennessee, Iowa accounted for 55% 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 A6215 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 32 |
| Referring clinicians | 130 |
| Medicare beneficiaries | 202 |
| States with claims | 10 |
| Share of services in top 3 states (Missouri, Tennessee, Iowa) | 55% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 34 | 102 |
| 2023 | 38 | 171 |
| 2024 | 32 | 202 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for A6215, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 3,419 | 102 | $5.98 | $4.67 |
| 2023 | 5,942 | 171 | $6.63 | $5.00 |
| 2024 | 6,720 | 202 | $6.43 | $4.99 |
States with the most A6215 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Missouri | 1,380 | $4.73 |
| Tennessee | 952 | $4.75 |
| Iowa | 517 | $7.75 |
| Wisconsin | 403 | $2.83 |
| Illinois | 402 | $4.95 |
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 A6215
- 1997-01-01: A6215 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 A6215?
A6215 is the HCPCS Level II code for foam dressing, wound filler, sterile, per gram. Short descriptor: "Foam dressing wound filler".
How much does Medicare pay for A6215?
In 2024, the average Medicare payment was $4.99 per service (average allowed $6.43).
Does Medicare cover A6215?
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)
- 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)
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 A6215
- Watch A6215 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A6215
Sources: CMS HCPCS Level II release October 2026; 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.