A6258 HCPCS code: Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing

A6258 is the HCPCS Level II code for transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing. The 2026 Medicare DMEPOS fee schedule pays $6.14 to $7.32 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 47% from 2022 to 2024 (59,942 to 31,699 services). In 2024, 205 suppliers billed Medicare for A6258 (purchases), serving 1,063 beneficiaries; New York, Massachusetts, Texas accounted for 34% of services. Its average fee ranks 16 of 41 A62 codes (family range $0.05–$56.30).

Code details

2026 Medicare DMEPOS fee schedule for A6258

How the A6258 fee compares

Who bills A6258 (2024)

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

Medicare utilization for A6258, 2022–2024

States with the most A6258 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 A6258

• 2026-01-01: Average state fee rose 2.0%: $6.05 to $6.17
• 1997-01-01: A6258 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 A6258?

A6258 is the HCPCS Level II code for transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing. Short descriptor: "Transparent film >16<=48 in".

How much does Medicare pay for A6258?

Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $6.14–$7.32. Rural fees can be higher.

Does Medicare cover A6258?

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

Did the Medicare fee for A6258 change in 2026?

The average non-rural state fee moved from $6.05 in 2025 to $6.17 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)
• 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 A6258
• Watch A6258 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for A6258

Sources: CMS HCPCS Level II release October 2025; 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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