A6243 Hydrogel drainage >16<=48 without bdr
Also known as: hydrogel dressing, gel sheet
Hydrogel wound dressing without border measuring greater than 16 and up to 48 square inches.
In Plain Language
water-based gel without border for medium wounds
Clinical Context
Indicated for moderate wounds with minimal drainage requiring hydration and debridement support.
RVU Information
CPT A6243 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 A6243?
CPT A6243 (Hydrogel drainage >16<=48 without bdr) is a A Codes code. Hydrogel wound dressing without border measuring greater than 16 and up to 48 square inches.
Does Medicare cover A6243?
Medicare coverage for A6243 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Indicated for moderate wounds with minimal drainage requiring hydration and debridement support. A physician order is typically required.
When is CPT A6243 used?
Indicated for moderate wounds with minimal drainage requiring hydration and debridement support.
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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.