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See a sample rate comparisonHCPCS A6237 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.
Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Hydrocolloid Dressings |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A6237 |
National average reimbursement for HCPCS A6237 by major payers:
$9.20
$5.89
$7.50
$13.03
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HCPCS A6237
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$20.22Published rateSmith Of Georgia, Smith Northview Hospitalists
Smith Of Georgia
$7.48Published rateLeigh Taylor
$5.51Published rateElbert Memorial Hospital
$5.13Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$3.52Published rate
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See a sample payer proposalHCPCS A6237 vs. Other Hydrocolloid Dressings Codes
The HCPCS A6237 code is part of the Medical And Surgical Supplies services used for Hydrocolloid 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 A6237 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 |
|---|---|---|
| A6236-HCPCS | Low | Hydrocolloid dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing |
| A6237-HCPCS | Low | Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
| A6238-HCPCS | Low | Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, 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 A6237. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6237 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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