A6197 Alginate drsg >16 <=48 square in
Also known as: alginate dressing, calcium alginate pad
Alginate wound dressing measuring greater than 16 and up to 48 square inches for moderate to heavy exudate management.
In Plain Language
algae-based pad for moderate wounds
Clinical Context
Indicated for moderate to large wounds with significant drainage. Alginate converts to gel upon contact with wound exudate for optimal healing environment.
RVU Information
CPT A6197 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
HCPCS A-codes cover medical supplies, equipment, and transport services. Documentation must establish medical necessity and include a physician order. For durable medical equipment (DME), a Certificate of Medical Necessity (CMN) or detailed written order may be required.
Specialties
Frequently Asked Questions
What is CPT code A6197?
CPT A6197 (Alginate drsg >16 <=48 square in) is a A Codes code. Alginate wound dressing measuring greater than 16 and up to 48 square inches for moderate to heavy exudate management.
Does Medicare cover A6197?
Medicare coverage for A6197 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Indicated for moderate to large wounds with significant drainage. Alginate converts to gel upon contact with wound exudate for optimal healing environment. A physician order is typically required.
When is CPT A6197 used?
Indicated for moderate to large wounds with significant drainage. Alginate converts to gel upon contact with wound exudate for optimal healing environment.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.