Summary & Overview
HCPCS A6460: Synthetic Resorbable Wound Dressing, ≤16 sq. in.
HCPCS Level II code A6460 denotes a sterile, synthetic resorbable wound dressing (pad 16 square inches or less) without an adhesive border. As a supply code used across outpatient and ambulatory wound-care settings, it matters nationally because it standardizes billing for a commonly used wound dressing in post-operative care, chronic wound management, and home health wound services.
Key payers in typical coverage analyses include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise review of what the code represents, typical sites of service, common modifiers and billing considerations (where applicable), and the clinical context in which the dressing is used. The publication also outlines payer coverage patterns, reimbursement benchmarks, and policy updates affecting supply codes like A6460 when available.
This summary equips billers, clinicians, and policy analysts with a clear understanding of the product described by A6460, how it is used in clinical practice, and where to look for payer-specific coverage and reimbursement details. Data not available in the input will be noted in relevant sections.
Billing Code Overview
HCPCS Level II code A6460 describes a synthetic resorbable wound dressing, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing. This supplies a single sterile dressing intended for application to wounds requiring a resorbable synthetic matrix.
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Service type: Wound care dressing supply
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Typical site of service: Outpatient wound care clinics, physician offices, home health settings, and other ambulatory care locations where sterile dressings are applied.
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Clinical & Coding Specifications
Clinical Context
A typical outpatient scenario involves an adult patient with a small, clean surgical or traumatic skin wound requiring a temporary protective cover to promote moist wound healing and resorption over time. A clinician in a wound care clinic, urgent care center, ambulatory surgery center, or hospital outpatient department selects a sterile synthetic resorbable wound dressing A6460 (pad size 16 sq. in. or less, without adhesive border) when a non-adherent, bioresorbable pad is indicated to protect the wound bed, control minor exudate, and reduce dressing change frequency. The workflow includes wound assessment, cleansing, possible debridement, hemostasis, sizing and placement of the dressing, and documentation of the product code A6460, quantity, lot number (if required), and clinical rationale in the patient record. Typical sites of service are outpatient wound care clinics, ambulatory surgery centers, emergency departments, and physician offices. Typical patient scenarios include small post-excisional surgical wounds, partial-thickness burns under 16 sq. in., donor sites, or traumatic lacerations where a resorbable pad is preferred and an adhesive border is not required for fixation. Documentation should link the dressing to the operative or procedural note, wound measurements, and the associated diagnosis code(s).
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 |