A6412 HCPCS code: Eye patch, occlusive, each
A6412 is the HCPCS Level II code for eye patch, occlusive, each. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 1 per day on DME suppliers.
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | Z2 |
| Added | 2003-01-01 |
| Last action effective | 2007-01-01 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Clinical: CMS Workgroup |
| outpatient hospital claims | 2 | Clinical: CMS Workgroup |
What changed for A6412
- 2003-01-01: A6412 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 A6412?
A6412 is the HCPCS Level II code for eye patch, occlusive, each. Short descriptor: "Occlusive eye patch".
Does Medicare cover A6412?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of A6412 can be billed per day?
1 on DME suppliers; 2 on outpatient hospital claims (NCCI medically unlikely edits).
Related A64 codes
- A6402 — Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing ($0.15–$0.18)
- A6403 — Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing ($0.58–$0.73)
- A6404 — Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
- A6407 — Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard ($2.66–$3.21)
- A6410 — Eye pad, sterile, each ($0.53–$0.68)
- A6411 — Eye pad, non-sterile, each
- A6413 — Adhesive bandage, first-aid type, any size, each
- A6441 — Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard ($0.97–$1.16)
- A6442 — Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard ($0.23–$0.35)
- A6443 — Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard ($0.40–$0.48)
- A6444 — Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard ($0.80–$0.99)
- A6445 — Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard ($0.45–$0.51)
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Next steps
- Run a reimbursement report for a device billed under A6412
- Watch A6412 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A6412
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.