HCPCS A6213: Foam Wound Dressing, 16–48 sq in, Adhesive Border

HCPCS Level II code A6213 describes a sterile foam wound dressing (pad size greater than 16 square inches up to 48 square inches) with any size adhesive border, intended as a wound cover used for wound care procedures; the service is a dressing application/product typically used in outpatient clinics, home health settings, long‑term care, and other ambulatory wound care sites where sterile dressings are applied and changed.

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HCPCS A6213: Foam Wound Dressing, 16–48 sq in, Adhesive Border

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Sign up for hcpcs A6213 policy alerts

Get alerted when payer policies referencing A6213 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Clinical & Coding Specifications

Clinical Context

A typical patient is an adult with a moderate-sized chronic or acute wound requiring a sterile foam dressing with an adhesive border for secure fixation. Example: a 68-year-old patient with a stage II pressure ulcer over the sacrum measuring 20 square inches being treated in an outpatient wound clinic. The clinician assesses the wound, performs cleaning and debridement as needed, measures wound dimensions, selects a foam dressing sized >16 sq. in. and ≤48 sq. in. with an adhesive border, applies the sterile dressing at the clinic visit, documents wound characteristics, dressing size and lot number, frequency of dressing changes, and follow-up plan. The supply is billed using A6213 for each dressing applied or provided to the patient. Typical sites of service include outpatient wound care clinics, hospital-based outpatient departments, skilled nursing facilities, home health visits, and emergency departments when dressing placement occurs.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97597`	Debridement, open wound, including topical application(s), wound assessment, and instruction(s) for ongoing care, first 20 sq cm or less	Often performed immediately before application of `A6213` when debridement of necrotic tissue is clinically indicated
`11042`	Debridement; subcutaneous tissue, first 20 sq cm or less	Surgical debridement that may precede placement of a foam dressing in operative or clinic settings
`99213`	Office or other outpatient visit for the evaluation and management of an established patient, low to moderate complexity	Typical visit code for the clinician encounter during which `A6213` is applied and documented
`99406`	Smoking and tobacco cessation counseling, intermediate, greater than 3 minutes up to 10 minutes	Behavioral or counseling services that may be provided during wound care visits (example ancillary service)
`99070`	Supplies and materials (except spectacles), provided by the physician over and above those usually included with the office visit	Used when billing for additional supplies related to wound care that are not separately reimbursed under `A6213`

Related Modifiers

5 rows

Modifier	Description	When to Use
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
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95	Modifier 95 indicates that a service was provided via synchronous, real‑time audio‑video telehealth rather than in‑person. Per CMS, AAPC and professional associations, append modifier 95 to claim…	- Use modifier 95 to indicate a service was furnished via synchronous, real‑time audiovisual telehealth (a live audio‑video conference between patient and provider) rather than in‑person. - Pair…
80	CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…	- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…
50	Modifier –50 (Bilateral Procedure) is appended to a CPT code when an identical procedure is performed on paired anatomical structures during the same operative session. The AMA states to add…	- Use modifier -50 when the same CPT surgical, diagnostic, or radiology procedure is performed on paired anatomical structures (both sides of the body) during the same operative/session by the same…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207P00000X	Emergency Medicine Physician	An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospit…
208000000X	Pediatrics Physician	A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectru…
282N00000X	General Acute Care Hospital	An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medica…
111NX0100X	Occupational Health Chiropractor	Occupational Health is that specialty within the chiropractic profession that deals with the prevention and management of work related injuries. It al…
207RC0200X	Critical Care Medicine (Internal Medicine) Physician	An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for…
247200000X	Other Technician	A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specifi…
204R00000X	Electrodiagnostic Medicine Physician	Electrodiagnostic medicine is the medical subspecialty that applies neurophysiologic techniques to diagnose, evaluate, and treat patients with impairm…
207RH0003X	Hematology & Oncology Physician	An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy t…

Related ICD-10-CM Codes

28 rows

ICD-10-CM Code	Description
E10.621	Type 1 diabetes mellitus with foot ulcer
E10.622	Type 1 diabetes mellitus with other skin ulcer
E11.621	Type 2 diabetes mellitus with foot ulcer
E11.622	Type 2 diabetes mellitus with other skin ulcer
I83.013	Varicose veins of right lower extremity with ulcer of ankle
I83.219	Varicose veins of right lower extremity with both ulcer of unspecified site and inflammation
K86.1	Other chronic pancreatitis
L01.00	Impetigo, unspecified
L03.116	Cellulitis of left lower limb
L08.9	Local infection of the skin and subcutaneous tissue, unspecified

Showing 1–10 of 28

Related Codes

HCPCS-A4206-STERILE-SYRINGE-1CC-NEEDLE

HCPCS A4206: Syringe with Needle, 1 cc or Less, Sterile

HCPCS-A4207-STERILE-2CC-SYRINGE-WITH-NEEDLE

HCPCS Level II A4207: Syringe with Needle, Sterile 2 cc

HCPCS-A4208-STERILE-3CC-SYRINGE-WITH-NEEDLE

HCPCS Level II A4208: Syringe with Needle, Sterile 3 cc

HCPCS-A4209-STERILE-SYRINGE-WITH-NEEDLE-5CC-OR-GREATER

HCPCS Level II A4209: Syringe with Needle, Sterile 5 cc or Greater

HCPCS-A4210-NEEDLE-FREE-INJECTION-DEVICE

HCPCS Level II A4210: Needle-free Injection Device, Each

HCPCS-A4211-SUPPLIES-SELF-ADMINISTERED-INJECTIONS

HCPCS Level II A4211: Supplies for Self-Administered Injections

HCPCS-A4212-NON-CORING-NEEDLE-STYLET-CATHETER-ACCESS-SUPPLY

HCPCS Level II A4212: Non-coring Needle or Stylet with/without Catheter

HCPCS-A4213-STERILE-SYRINGE-20CC-OR-GREATER

HCPCS Level II A4213: Syringe, Sterile, 20 cc or Greater, Each

HCPCS-A4215-STERILE-NEEDLE-SINGLE-EACH

HCPCS Level II A4215: Needle, Sterile, Any Size

HCPCS-A4216-STERILE-DILUENT-FLUSH-10ML

HCPCS Level II A4216: Sterile Diluent/Flush, 10 ml

Showing 1–10 of 633

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97597`	Debridement, open wound, including topical application(s), wound assessment, and instruction(s) for ongoing care, first 20 sq cm or less	Often performed immediately before application of `A6213` when debridement of necrotic tissue is clinically indicated
`11042`	Debridement; subcutaneous tissue, first 20 sq cm or less	Surgical debridement that may precede placement of a foam dressing in operative or clinic settings
`99213`	Office or other outpatient visit for the evaluation and management of an established patient, low to moderate complexity	Typical visit code for the clinician encounter during which `A6213` is applied and documented
`99406`	Smoking and tobacco cessation counseling, intermediate, greater than 3 minutes up to 10 minutes	Behavioral or counseling services that may be provided during wound care visits (example ancillary service)
`99070`	Supplies and materials (except spectacles), provided by the physician over and above those usually included with the office visit	Used when billing for additional supplies related to wound care that are not separately reimbursed under `A6213`

Related Modifiers

5 rows

Modifier	Description	When to Use
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
[object Object]
95	Modifier 95 indicates that a service was provided via synchronous, real‑time audio‑video telehealth rather than in‑person. Per CMS, AAPC and professional associations, append modifier 95 to claim…	- Use modifier 95 to indicate a service was furnished via synchronous, real‑time audiovisual telehealth (a live audio‑video conference between patient and provider) rather than in‑person. - Pair…
80	CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…	- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…
50	Modifier –50 (Bilateral Procedure) is appended to a CPT code when an identical procedure is performed on paired anatomical structures during the same operative session. The AMA states to add…	- Use modifier -50 when the same CPT surgical, diagnostic, or radiology procedure is performed on paired anatomical structures (both sides of the body) during the same operative/session by the same…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207P00000X	Emergency Medicine Physician	An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospit…
208000000X	Pediatrics Physician	A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectru…
282N00000X	General Acute Care Hospital	An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medica…
111NX0100X	Occupational Health Chiropractor	Occupational Health is that specialty within the chiropractic profession that deals with the prevention and management of work related injuries. It al…
207RC0200X	Critical Care Medicine (Internal Medicine) Physician	An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for…
247200000X	Other Technician	A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specifi…
204R00000X	Electrodiagnostic Medicine Physician	Electrodiagnostic medicine is the medical subspecialty that applies neurophysiologic techniques to diagnose, evaluate, and treat patients with impairm…
207RH0003X	Hematology & Oncology Physician	An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy t…

Related ICD-10-CM Codes

28 rows

ICD-10-CM Code	Description
E10.621	Type 1 diabetes mellitus with foot ulcer
E10.622	Type 1 diabetes mellitus with other skin ulcer
E11.621	Type 2 diabetes mellitus with foot ulcer
E11.622	Type 2 diabetes mellitus with other skin ulcer
I83.013	Varicose veins of right lower extremity with ulcer of ankle
I83.219	Varicose veins of right lower extremity with both ulcer of unspecified site and inflammation
K86.1	Other chronic pancreatitis
L01.00	Impetigo, unspecified
L03.116	Cellulitis of left lower limb
L08.9	Local infection of the skin and subcutaneous tissue, unspecified

Showing 1–10 of 28

Related Codes

HCPCS-A4206-STERILE-SYRINGE-1CC-NEEDLE

HCPCS A4206: Syringe with Needle, 1 cc or Less, Sterile

HCPCS-A4207-STERILE-2CC-SYRINGE-WITH-NEEDLE

HCPCS Level II A4207: Syringe with Needle, Sterile 2 cc

HCPCS-A4208-STERILE-3CC-SYRINGE-WITH-NEEDLE

HCPCS Level II A4208: Syringe with Needle, Sterile 3 cc

HCPCS-A4209-STERILE-SYRINGE-WITH-NEEDLE-5CC-OR-GREATER

HCPCS Level II A4209: Syringe with Needle, Sterile 5 cc or Greater

HCPCS-A4210-NEEDLE-FREE-INJECTION-DEVICE

HCPCS Level II A4210: Needle-free Injection Device, Each

HCPCS-A4211-SUPPLIES-SELF-ADMINISTERED-INJECTIONS

HCPCS Level II A4211: Supplies for Self-Administered Injections

HCPCS-A4212-NON-CORING-NEEDLE-STYLET-CATHETER-ACCESS-SUPPLY

HCPCS Level II A4212: Non-coring Needle or Stylet with/without Catheter

HCPCS-A4213-STERILE-SYRINGE-20CC-OR-GREATER

HCPCS Level II A4213: Syringe, Sterile, 20 cc or Greater, Each

HCPCS-A4215-STERILE-NEEDLE-SINGLE-EACH

HCPCS Level II A4215: Needle, Sterile, Any Size

HCPCS-A4216-STERILE-DILUENT-FLUSH-10ML

HCPCS Level II A4216: Sterile Diluent/Flush, 10 ml

Showing 1–10 of 633

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

HCPCS A6213: Foam Wound Dressing, 16–48 sq in, Adhesive Border

Sign up for hcpcs A6213 policy alerts

HCPCS A6213: Foam Wound Dressing, 16–48 sq in, Adhesive Border

Sign up for hcpcs A6213 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Codes

What does HCPCS code A6213 describe?

Where is A6213 commonly supplied or applied?

Which CPT codes are commonly associated with services provided alongside A6213?

What modifiers are referenced for use with A6213 in the coding specifications?

What clinical scenarios and diagnoses are associated with A6213, and what documentation is described?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Codes

What does HCPCS code A6213 describe?

Where is A6213 commonly supplied or applied?

Which CPT codes are commonly associated with services provided alongside A6213?

What modifiers are referenced for use with A6213 in the coding specifications?

What clinical scenarios and diagnoses are associated with A6213, and what documentation is described?

References