A6213 Foam drainage >16<=48 square in with bdr
Also known as: foam pad with border, foam dressing with adhesive border
Foam wound dressing with adhesive border measuring greater than 16 and up to 48 square inches for secure moderate wound coverage.
In Plain Language
sticky-edge foam cushion for medium wounds
Clinical Context
Provides self-contained dressing for moderate wounds with integrated edge seal to maintain contact and reduce dressing shifting.
RVU Information
CPT A6213 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 A6213?
CPT A6213 (Foam drainage >16<=48 square in with bdr) is a A Codes code. Foam wound dressing with adhesive border measuring greater than 16 and up to 48 square inches for secure moderate wound coverage.
Does Medicare cover A6213?
Medicare coverage for A6213 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Provides self-contained dressing for moderate wounds with integrated edge seal to maintain contact and reduce dressing shifting. A physician order is typically required.
When is CPT A6213 used?
Provides self-contained dressing for moderate wounds with integrated edge seal to maintain contact and reduce dressing shifting.
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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.