Summary & Overview
HCPCS A6262: Wound Filler, Dry Form, Per Gram
HCPCS Level II code A6262 denotes a dry-form wound filler billed per gram for use in wound management. This supply code is used when clinicians or suppliers provide granular, per-gram wound filling material for topical application in wound beds. Nationwide, codes for wound care supplies matter for consistent billing, inventory control, and clinical documentation across outpatient and home-based care settings.
Key payers included in this overview are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the code's clinical purpose and service contexts, and a summary of what typical analyses cover: payer coverage considerations, billing and coding practice benchmarks, and policy or documentation factors that affect claim adjudication. The publication also outlines where to expect variability across payers and the common sites of service where A6262 is applied.
This summary is intended as a national-level reference for coding professionals, supply chain managers, and clinicians involved in wound care billing. It highlights the code's role in wound care supply billing and what stakeholders usually review when assessing coverage and reimbursement practices for wound fillers supplied on a per-gram basis.
Billing Code Overview
HCPCS Level II code A6262 describes wound filler, dry form, per gram, not otherwise specified. The service involves supplying a dry-form wound filling material measured and billed by gram for use in wound management and dressing applications. The service type is supply of a wound care product for topical use in wound beds. The typical site of service is outpatient wound care settings, clinics, physician offices, home health visits, and other ambulatory care environments where wound dressings and topical products are applied.
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Clinical & Coding Specifications
Clinical Context
A patient with a non-healing full-thickness lower extremity wound presents to a wound care clinic for debridement and advanced dressing application. The clinician selects a dry wound filler material billed under A6262 (wound filler, dry form, per gram, not otherwise specified`) to pack deep wound cavities after sharp debridement and irrigation. The workflow: wound assessment and measurement, photographic documentation, cleansing and selective sharp debridement of necrotic tissue, measurement of wound depth and volume, application of appropriate amount (grams) of dry wound filler into the wound cavity to promote hemostasis and support granulation, placement of secondary dressing and compression if indicated, patient and caregiver education on dressing change frequency, and scheduling of follow-up wound clinic visit within 3–7 days for reassessment and potential reapplication. Typical sites of service include outpatient wound care clinics, hospital-based wound centers, ambulatory surgery centers for complex cleansing/debridement procedures, and skilled nursing facilities for ongoing wound management. Typical patient scenario includes diabetic foot ulcer, venous stasis ulcer with deep undermining, or pressure injury with a deep cavity requiring packing material measured by weight in grams.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased procedural services | Use when work, time, or complexity substantially exceeds usual for packing/supporting a deep or complex wound. |