A6219 HCPCS code: Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
A6219 is the HCPCS Level II code for gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing. The 2026 Medicare DMEPOS fee schedule pays $1.36 to $1.64 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 41% from 2022 to 2024 (2,779,161 to 3,919,759 services). In 2024, 720 suppliers billed Medicare for A6219 (purchases), serving 69,842 beneficiaries; Florida, Texas, New York accounted for 34% of services. Its average fee ranks 2 of 41 A62 codes (family range $0.05–$56.30).
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 | 1997-01-01 |
| Last action effective | 2009-01-01 |
2026 Medicare DMEPOS fee schedule for A6219
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $1.36 | $1.64 | $1.36 | $1.16 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $1.45 | — |
| AL | — | $1.36 | — |
| AR | — | $1.36 | — |
| AZ | — | $1.36 | — |
| CA | — | $1.36 | — |
| CO | — | $1.36 | — |
| CT | — | $1.36 | — |
| DC | — | $1.36 | — |
| DE | — | $1.36 | — |
| FL | — | $1.36 | — |
| GA | — | $1.36 | — |
| HI | — | $1.50 | — |
| IA | — | $1.36 | — |
| ID | — | $1.36 | — |
| IL | — | $1.36 | — |
| IN | — | $1.36 | — |
| KS | — | $1.36 | — |
| KY | — | $1.36 | — |
| LA | — | $1.36 | — |
| MA | — | $1.36 | — |
| MD | — | $1.36 | — |
| ME | — | $1.36 | — |
| MI | — | $1.36 | — |
| MN | — | $1.36 | — |
| MO | — | $1.36 | — |
| MS | — | $1.36 | — |
| MT | — | $1.36 | — |
| NC | — | $1.36 | — |
| ND | — | $1.36 | — |
| NE | — | $1.36 | — |
| NH | — | $1.36 | — |
| NJ | — | $1.36 | — |
| NM | — | $1.36 | — |
| NV | — | $1.36 | — |
| NY | — | $1.36 | — |
| OH | — | $1.36 | — |
| OK | — | $1.36 | — |
| OR | — | $1.36 | — |
| PA | — | $1.36 | — |
| PR | — | $1.64 | — |
| RI | — | $1.36 | — |
| SC | — | $1.36 | — |
| SD | — | $1.36 | — |
| TN | — | $1.36 | — |
| TX | — | $1.36 | — |
| UT | — | $1.36 | — |
| VA | — | $1.36 | — |
| VI | — | $1.36 | — |
| VT | — | $1.36 | — |
| WA | — | $1.36 | — |
| WI | — | $1.36 | — |
| WV | — | $1.36 | — |
| WY | — | $1.36 | — |
How the A6219 fee compares
| Measure | Value |
|---|---|
| Rank among 41 A62 codes (lowest = 1) | 2 |
| Family fee range (average of state fees) | $0.05–$56.30 |
| Rural fee uplift | — |
Who bills A6219 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 720 |
| Referring clinicians | 14,399 |
| Medicare beneficiaries | 69,842 |
| States with claims | 54 |
| Share of services in top 3 states (Florida, Texas, New York) | 34% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 775 | 44,178 |
| 2023 | 671 | 56,258 |
| 2024 | 720 | 69,842 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for A6219, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 2,779,161 | 44,178 | $1.17 | $0.91 |
| 2023 | 3,226,804 | 56,258 | $1.27 | $0.98 |
| 2024 | 3,919,759 | 69,842 | $1.30 | $1.01 |
States with the most A6219 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 521,257 | $1.01 |
| Texas | 455,376 | $1.01 |
| New York | 371,523 | $1.00 |
| California | 351,037 | $1.01 |
| Pennsylvania | 199,957 | $1.00 |
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 A6219
- 2026-01-01: Average state fee rose 2.2%: $1.34 to $1.37
- 1997-01-01: A6219 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 A6219?
A6219 is the HCPCS Level II code for gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing. Short descriptor: "Gauze <= 16 sq in w/border".
How much does Medicare pay for A6219?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $1.36–$1.64. Rural fees can be higher.
Does Medicare cover A6219?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for A6219 change in 2026?
The average non-rural state fee moved from $1.34 in 2025 to $1.37 in 2026 (+2.2%). 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)
- 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)
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Next steps
- Run a reimbursement report for a device billed under A6219
- Watch A6219 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A6219
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.