HCPCS Code A6212: Foam Dressing, 16 Square Inches or Less

HCPCS Code A6212: Foam Dressing, 16 Square Inches or Less

Struggling with A6212 claims? This guide covers billing, documentation, and modifiers for foam dressings to improve your reimbursement rate.

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Frequently asked questions

Often yes—when criteria are met. Insurers (including Medicare) generally cover surgical dressings for active, draining wounds with proper documentation, orders, measurements, and demonstrated need.

There isn’t a single CPT for “collagen application.” You typically report the visit/debridement if performed and bill the supply with its HCPCS code (e.g., A6021/A6022), per payer rules.

When medical-necessity criteria are met—active drainage, appropriate wound cleansing, measurements, and a valid order—A6212 is commonly covered. Quantity limits apply; justify extra supplies with documented exudate level, size, and dressing change frequency.

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