A6446 HCPCS code: Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard
A6446 is the HCPCS Level II code for conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard. The 2026 Medicare DMEPOS fee schedule pays $0.55 to $0.72 depending on the state. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 14 per day on outpatient hospital claims. Its average fee ranks 6 of 21 A64 codes (family range $0.15–$8.43).
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 35 — DMEPOS: surgical dressings |
| BETOS category | D1A — Medical/surgical supplies |
| Added | 2004-01-01 |
| Last action effective | 2004-01-01 |
2026 Medicare DMEPOS fee schedule for A6446
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $0.55 | $0.72 | $0.55 | $0.47 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $0.55 | — |
| AL | — | $0.55 | — |
| AR | — | $0.55 | — |
| AZ | — | $0.55 | — |
| CA | — | $0.55 | — |
| CO | — | $0.55 | — |
| CT | — | $0.55 | — |
| DC | — | $0.55 | — |
| DE | — | $0.55 | — |
| FL | — | $0.55 | — |
| GA | — | $0.55 | — |
| HI | — | $0.55 | — |
| IA | — | $0.55 | — |
| ID | — | $0.55 | — |
| IL | — | $0.55 | — |
| IN | — | $0.55 | — |
| KS | — | $0.55 | — |
| KY | — | $0.55 | — |
| LA | — | $0.55 | — |
| MA | — | $0.55 | — |
| MD | — | $0.55 | — |
| ME | — | $0.55 | — |
| MI | — | $0.55 | — |
| MN | — | $0.55 | — |
| MO | — | $0.55 | — |
| MS | — | $0.55 | — |
| MT | — | $0.55 | — |
| NC | — | $0.55 | — |
| ND | — | $0.55 | — |
| NE | — | $0.55 | — |
| NH | — | $0.55 | — |
| NJ | — | $0.55 | — |
| NM | — | $0.55 | — |
| NV | — | $0.55 | — |
| NY | — | $0.55 | — |
| OH | — | $0.55 | — |
| OK | — | $0.55 | — |
| OR | — | $0.55 | — |
| PA | — | $0.55 | — |
| PR | — | $0.72 | — |
| RI | — | $0.55 | — |
| SC | — | $0.55 | — |
| SD | — | $0.55 | — |
| TN | — | $0.55 | — |
| TX | — | $0.55 | — |
| UT | — | $0.55 | — |
| VA | — | $0.55 | — |
| VI | — | $0.55 | — |
| VT | — | $0.55 | — |
| WA | — | $0.55 | — |
| WI | — | $0.55 | — |
| WV | — | $0.55 | — |
| WY | — | $0.55 | — |
How the A6446 fee compares
| Measure | Value |
|---|---|
| Rank among 21 A64 codes (lowest = 1) | 6 |
| Family fee range (average of state fees) | $0.15–$8.43 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 14 | Clinical: Data |
What changed for A6446
- 2026-01-01: Average state fee rose 1.8%: $0.54 to $0.55
- 2004-01-01: A6446 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 A6446?
A6446 is the HCPCS Level II code for conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard. Short descriptor: "Conform band s w>=3" <5"/yd".
How much does Medicare pay for A6446?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $0.55–$0.72. Rural fees can be higher.
Does Medicare cover A6446?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for A6446 change in 2026?
The average non-rural state fee moved from $0.54 in 2025 to $0.55 in 2026 (+1.8%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of A6446 can be billed per day?
14 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
- A6412 — Eye patch, occlusive, 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)
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Next steps
- Run a reimbursement report for a device billed under A6446
- Watch A6446 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A6446
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.