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    v1.0.31
    OpenPayerBilling CodesMedical And Surgical SuppliesHCPCS hcpcs-a6457-tubular-dressing-per-linear-yard
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    HCPCS A6457: Tubular Dressing, Per Linear Yard

    HCPCS Level II code A6457 describes a tubular dressing with or without elastic supplied by the linear yard, used as a wound care or dressing retention product for securing dressings over wounds; service type: durable medical supply for wound management; typical site of service: outpatient clinics, wound care centers, home health, and other ambulatory settings where dressings are applied or changed.

    For related coverage guidance, see recent payer policy updates: Diabetic Supplies, Radiofrequency Ablation for Thyroid Nodules, Continuous Glucose Monitoring and Insulin Delivery for Managing Diabetes (for Idaho Only).

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    Clinical & Coding Specifications

    Clinical Context

    A patient with a chronic venous insufficiency or a postoperative extremity wound requires compression or protection of the limb. In outpatient wound care, vascular surgery clinic, home health nursing, or a durable medical equipment (DME) supply visit, a clinician or certified wound nurse measures the affected extremity and orders a tubular dressing by the linear yard to provide circumferential soft compression, secure primary dressings, or protect skin under a cast or splint. The dressing A6457 (tubular dressing with or without elastic, any width, per linear yard) is dispensed by the DME supplier or applied by clinic staff. Typical workflow: assessment of wound or incision, selection of appropriate tubular dressing width and length, application over primary dressings or directly over limb, documentation of dressing type, length dispensed, and medical necessity (wound description, diagnosis, and frequency of dressing changes). Typical sites of service include outpatient wound care clinics, physician offices, home health visits, and durable medical equipment suppliers. A realistic patient scenario: a 68-year-old patient with a venous leg ulcer managed in a wound clinic receives a 2-yard supply of tubular dressing A6457 to provide light compression over the primary dressing and to secure it between clinic visits. Documentation includes wound measurements, indication for tubular dressing, length dispensed in linear yards, and instructions for caregiver or home health nurse on reapplication and wear time.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    97597Debridement; selective debridement, without anesthesia, including topical application(s), wound assessment, and instruction(s) for ongoing care, each 20 sq cm or lessOften performed before application of dressings; tubular dressing A6457 may be applied afterward to secure primary dressings.
    97598Debridement; selective debridement, without anesthesia, each additional 20 sq cmUsed when larger wound debridement is needed prior to dressing application.
    11042Excision and drainage of abscess; simple or singleIncision and drainage procedures may precede dressing application; tubular dressing secures post-procedure dressings.
    99213Office or other outpatient visit for the evaluation and management of an established patient, typically 15 minutesCommon visit code for wound clinic evaluations where A6457 is assessed and supplied.
    99214Office or other outpatient visit for the evaluation and management of an established patient, typically 25 minutesUsed for more complex wound assessments and documentation supporting supply of tubular dressing.
    11320Application of skin substitute graft to trunk, arms, legs (if applicable)Post-graft care often requires tubular dressings to protect grafts and secure dressings.

    Related Modifiers

    5 rows

    ModifierDescriptionWhen to Use
    59Modifier 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…
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
    47Modifier -47 (“Anesthesia by Surgeon”) is appended to a surgical or procedural CPT code when the surgeon personally provides regional or general anesthesia for the procedure. Use of -47 indicates the…- Use modifier -47 when the surgeon personally provides regional or general anesthesia during the surgical procedure (i.e., the surgeon administers the anesthesia in addition to performing the…
    26Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    207Q00000X
    251B00000X
    207L00000X
    363L00000X
    246RH0600X
    146N00000X
    156FX1201X
    163WC1600X

    Related Payer Policy Updates

    Specialty: Endocrinology1 / 3

    10 rows

    PolicyPayerEffective Date
    Diabetic SuppliesCigna2026-10-15
    Radiofrequency Ablation for Thyroid NodulesCigna2026-10-15
    Continuous Glucose Monitoring and Insulin Delivery for Managing Diabetes (for Idaho Only)UnitedHealthcare2026-10-01
    Tzield (teplizumab-mzwv) CoverageUnitedHealthcare2026-10-01
    Continuous Glucose Monitoring and Insulin Delivery for Managing Diabetes (for Indiana Only)UnitedHealthcare2026-10-01
    Medical Necessity Guidelines Insulin PumpsMass General Brigham Health Plan2026-10-01
    Medical Necessity Guidelines: Continuous Glucose MonitorsMass General Brigham Health Plan2026-10-01
    Continuous Glucose MonitoringAmbetter Nevada2026-10-01
    Salivary Hormone TestingOscar Health2026-10-01
    Bone Turnover Markers TestingOscar Health2026-10-01

    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

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    Frequently Asked Questions

    References

    1. 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. 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. 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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