A6242 Hydrogel drainage <=16 in without bdr
Also known as: hydrogel dressing, gel sheet
Hydrogel wound dressing without border measuring 16 square inches or less for dry wound rehydration.
In Plain Language
water-based gel without border
Clinical Context
Applied directly to dry, necrotic, or minimally draining wounds to rehydrate tissue and facilitate autolytic debridement.
RVU Information
CPT A6242 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 A6242?
CPT A6242 (Hydrogel drainage <=16 in without bdr) is a A Codes code. Hydrogel wound dressing without border measuring 16 square inches or less for dry wound rehydration.
Does Medicare cover A6242?
Medicare coverage for A6242 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Applied directly to dry, necrotic, or minimally draining wounds to rehydrate tissue and facilitate autolytic debridement. A physician order is typically required.
When is CPT A6242 used?
Applied directly to dry, necrotic, or minimally draining wounds to rehydrate tissue and facilitate autolytic debridement.
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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.