Summary & Overview
HCPCS Level II A6445: Sterile Non-Elastic Conforming Bandage <3" Wide
HCPCS Level II code A6445 represents a sterile, non-elastic conforming bandage, knitted or woven, less than three inches wide, billed per yard. This supply-code classification matters nationally because it standardizes billing for commonly used narrow sterile bandages across outpatient, clinic, home health, and wound care settings, affecting reimbursement for routine wound management and supply tracking.
Key payers commonly relevant to this code include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Coverage and payment policies for sterile wound care supplies can vary by payer and plan, influencing provider billing practices and patient out-of-pocket costs.
Readers will learn the clinical context of A6445, typical service settings, and which major payers are typically engaged for these supplies. The publication covers national benchmarks where available, common billing modifiers and administrative considerations, and any notable policy or coding updates affecting supply reimbursement. Data not available in the input will be identified as such in the relevant sections.
Billing Code Overview
HCPCS Level II code A6445 describes a conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, billed per yard. This item is a disposable, sterile wound care dressing material supplied in narrow widths for applications such as securing dressings, small wound compression, or light support of extremities.
Service type: Durable medical/surgical supply (sterile wound care dressing)
Typical site of service: Outpatient clinics, physician offices, wound care centers, and home health care settings
Clinical & Coding Specifications
Clinical Context
A typical patient is a 68-year-old ambulatory adult with chronic venous insufficiency and recurrent lower-extremity edema presenting to a wound care clinic for compression management after debridement of a venous ulcer. The clinician measures the affected limb and selects sterile, non-elastic conforming bandage material less than three inches in width to secure primary dressings, contour around bony prominences, and provide local support without circumferential compression. The workflow includes wound assessment, cleansing and dressing placement, cutting A6445 conforming bandage to required length (per yard billing), application to secure the dressing, documentation of bandage length and sterility, and patient education on limb elevation and follow-up. Typical sites of service include outpatient wound care clinics, hospital bedside during inpatient stays, skilled nursing facility wound visits, and ambulatory surgery centers when used post-procedure to secure dressings.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
59 | Data not available in the input. | Data not available in the input. |
22 | Increased procedural services |