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See a sample rate comparisonHCPCS A6231 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Gauze Dressings |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A6231 |
National average reimbursement for HCPCS A6231 by major payers:
$5.40
$3.48
$4.34
$7.90
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HCPCS A6231
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$11.95Published rateAtl Colorectal Surgery
$7.38Published rateCarson Medical Group Professional Corporation
Carson Medical Group
$3.98Published rateDonalsonville Hospital Inc
$3.03Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$2.08Published rate
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See a sample payer proposalHCPCS A6231 vs. Other Gauze Dressings Codes
The HCPCS A6231 code is part of the Medical And Surgical Supplies services used for Gauze Dressings. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS A6231 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| A6230-HCPCS | Low | Gauze, impregnated, water or normal saline, sterile, pad size more than 48 sq. in., without adhesive border, each dressing |
| A6231-HCPCS | Low | Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing |
| A6232-HCPCS | Low | Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A6231. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6231 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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