A6453 HCPCS code: Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard
A6453 is the HCPCS Level II code for self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard. The 2026 Medicare DMEPOS fee schedule pays $0.90 to $1.06 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 6 per day on outpatient hospital claims. Medicare volume fell 12% from 2022 to 2024 (88,561 to 77,963 services). In 2024, 134 suppliers billed Medicare for A6453 (purchases), serving 1,225 beneficiaries; California, District of Columbia, Massachusetts accounted for 24% of services. Its average fee ranks 9 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 A6453
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $0.90 | $1.06 | $0.90 | $0.77 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $0.90 | — |
| AL | — | $0.90 | — |
| AR | — | $0.90 | — |
| AZ | — | $0.90 | — |
| CA | — | $0.90 | — |
| CO | — | $0.90 | — |
| CT | — | $0.90 | — |
| DC | — | $0.90 | — |
| DE | — | $0.90 | — |
| FL | — | $0.90 | — |
| GA | — | $0.90 | — |
| HI | — | $0.90 | — |
| IA | — | $0.90 | — |
| ID | — | $0.90 | — |
| IL | — | $0.90 | — |
| IN | — | $0.90 | — |
| KS | — | $0.90 | — |
| KY | — | $0.90 | — |
| LA | — | $0.90 | — |
| MA | — | $0.90 | — |
| MD | — | $0.90 | — |
| ME | — | $0.90 | — |
| MI | — | $0.90 | — |
| MN | — | $0.90 | — |
| MO | — | $0.90 | — |
| MS | — | $0.90 | — |
| MT | — | $0.90 | — |
| NC | — | $0.90 | — |
| ND | — | $0.90 | — |
| NE | — | $0.90 | — |
| NH | — | $0.90 | — |
| NJ | — | $0.90 | — |
| NM | — | $0.90 | — |
| NV | — | $0.90 | — |
| NY | — | $0.90 | — |
| OH | — | $0.90 | — |
| OK | — | $0.90 | — |
| OR | — | $0.90 | — |
| PA | — | $0.90 | — |
| PR | — | $1.06 | — |
| RI | — | $0.90 | — |
| SC | — | $0.90 | — |
| SD | — | $0.90 | — |
| TN | — | $0.90 | — |
| TX | — | $0.90 | — |
| UT | — | $0.90 | — |
| VA | — | $0.90 | — |
| VI | — | $0.90 | — |
| VT | — | $0.90 | — |
| WA | — | $0.90 | — |
| WI | — | $0.90 | — |
| WV | — | $0.90 | — |
| WY | — | $0.90 | — |
How the A6453 fee compares
| Measure | Value |
|---|---|
| Rank among 21 A64 codes (lowest = 1) | 9 |
| Family fee range (average of state fees) | $0.15–$8.43 |
| Rural fee uplift | — |
Who bills A6453 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 134 |
| Referring clinicians | 827 |
| Medicare beneficiaries | 1,225 |
| States with claims | 36 |
| Share of services in top 3 states (California, District of Columbia, Massachusetts) | 24% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 198 | 1,267 |
| 2023 | 158 | 1,494 |
| 2024 | 134 | 1,225 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for A6453, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 88,561 | 1,267 | $0.77 | $0.60 |
| 2023 | 97,811 | 1,494 | $0.84 | $0.64 |
| 2024 | 77,963 | 1,225 | $0.86 | $0.66 |
States with the most A6453 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 8,406 | $0.67 |
| District of Columbia | 4,975 | $0.67 |
| Massachusetts | 4,585 | $0.67 |
| Ohio | 4,161 | $0.65 |
| Florida | 3,996 | $0.65 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 6 | Clinical: Data |
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 A6453
- 2026-01-01: Average state fee rose 2.3%: $0.88 to $0.90
- 2004-01-01: A6453 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 A6453?
A6453 is the HCPCS Level II code for self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard. Short descriptor: "Self-adher band w <3"/yd".
How much does Medicare pay for A6453?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $0.90–$1.06. Rural fees can be higher.
Does Medicare cover A6453?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for A6453 change in 2026?
The average non-rural state fee moved from $0.88 in 2025 to $0.90 in 2026 (+2.3%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of A6453 can be billed per day?
6 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)
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 A6453
- Watch A6453 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A6453
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.