A6461 Synthetic drsg >16<=48 square in
Also known as: synthetic dressing, non-adherent pad, wound pad
Synthetic wound dressing, greater than 16 square inches up to 48 square inches. Non-adherent covering for moderate-sized wounds.
In Plain Language
medium wound pad; non-stick bandage
Clinical Context
Used for moderate-sized wounds, post-surgical sites, and lacerations. Synthetic dressings maintain a moist wound environment while providing protection.
RVU Information
CPT A6461 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 A6461?
CPT A6461 (Synthetic drsg >16<=48 square in) is a A Codes code. Synthetic wound dressing, greater than 16 square inches up to 48 square inches. Non-adherent covering for moderate-sized wounds.
Does Medicare cover A6461?
Medicare coverage for A6461 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used for moderate-sized wounds, post-surgical sites, and lacerations. Synthetic dressings maintain a moist wound environment while providing protection. A physician order is typically required.
When is CPT A6461 used?
Used for moderate-sized wounds, post-surgical sites, and lacerations. Synthetic dressings maintain a moist wound environment while providing protection.
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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.