A6403 Sterile gauze>16 <= 48 square in
Also known as: sterile gauze pad, sterile gauze dressing
Sterile gauze dressing measuring greater than 16 and up to 48 square inches for moderate wound coverage.
In Plain Language
sterile gauze cloth for medium wounds
Clinical Context
Indicated for moderate-sized surgical or traumatic wounds. Sterile formulation suitable for clean wound environments.
RVU Information
CPT A6403 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 A6403?
CPT A6403 (Sterile gauze>16 <= 48 square in) is a A Codes code. Sterile gauze dressing measuring greater than 16 and up to 48 square inches for moderate wound coverage.
Does Medicare cover A6403?
Medicare coverage for A6403 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Indicated for moderate-sized surgical or traumatic wounds. Sterile formulation suitable for clean wound environments. A physician order is typically required.
When is CPT A6403 used?
Indicated for moderate-sized surgical or traumatic wounds. Sterile formulation suitable for clean wound environments.
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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.