Summary & Overview
HCPCS A6247: Hydrogel Dressing, Large Sterile Wound Pad
HCPCS Level II code A6247 represents a sterile hydrogel wound dressing with a pad larger than 48 square inches and any size adhesive border, billed per dressing. This supply-oriented code captures use of large hydrogel dressings in wound management across outpatient clinics, wound centers, hospital outpatient departments, and home health settings. Nationally, accurate coding of such dressings affects supply line billing, durable wound-care management, and claims processing for large-area wounds.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context and service settings tied to A6247, typical payer coverage themes, and the common modifiers associated with this code. The publication outlines benchmarks for utilization and payment practices where available and highlights coding considerations relevant to supply-based wound care billing.
The analysis provides practical clarity on when A6247 applies (large sterile hydrogel dressing, each), how it fits into the wound-care service line, and what stakeholders — clinicians, coders, and billing professionals — should consider when documenting and submitting claims. Data not available in the input for payer-specific rates, associated taxonomies, ICD-10 diagnoses, and related codes.
Billing Code Overview
HCPCS Level II code A6247 describes a hydrogel dressing, wound cover, sterile, with a pad size more than 48 square inches, and any size adhesive border, billed each dressing. The service type is wound care dressing application / supply and the typical site of service is outpatient clinic, wound care center, hospital outpatient department, or home health setting where sterile large hydrogel dressings are applied or supplied for wound management.
Data not available in the input for associated taxonomies or ICD-10 diagnoses.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult with a large partial- or full-thickness wound (burn, donor/recipient site, pressure ulcer, surgical dehiscence, or traumatic wound) requiring a moist wound-healing environment and a non-adherent, highly absorbent cover. The provider selects A6247 for a sterile hydrogel dressing pad larger than 48 square inches with any size adhesive border. The clinical workflow: wound assessment (size, depth, exudate, signs of infection), wound cleansing and debridement as indicated, measurement and documentation of wound dimensions, selection and application of the appropriate hydrogel dressing ensuring full coverage, securement with adhesive border or secondary dressing, patient/caregiver dressing change instructions and supply documentation, and follow-up wound checks at outpatient clinic, home health visit, or outpatient wound center. Typical sites of service include outpatient wound care clinics, hospital inpatient wards, skilled nursing facilities, and home health visits.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
11 | Surgical procedure performed by the physician | When a surgeon applies the dressing as part of a documented operative or surgical wound management encounter |
22 |