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See a sample rate comparisonHCPCS A6254 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.
Specialty absorptive 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 Other Dressings, Coverings, and Wound Treatment Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A6254 |
National average reimbursement for HCPCS A6254 by major payers:
$1.39
$0.90
$1.14
$2.00
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HCPCS A6254
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$3.06Published rateThe Hospital Authority Of Monroe County, Georgia, Monroe County Hospital
The Hospital Authority Of Monroe County Georgia
$1.13Published rateSt. Francis Radiologists, LLC
$0.80Published rateProfessional Resources Management Of Rabun, LLC, Mountain Lakes Medical Center
$0.79Published rateKristina Jimenez
Miguel A Arenas Md PC
$0.46Published rate
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See a sample payer proposalHCPCS A6254 vs. Other Other Dressings, Coverings, and Wound Treatment Supplies Codes
The HCPCS A6254 code is part of the Medical And Surgical Supplies services used for Other Dressings, Coverings, and Wound Treatment Supplies. 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 A6254 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 |
|---|---|---|
| A6253-HCPCS | Low | Specialty absorptive dressing, wound cover, sterile, pad size more than 48 sq. in., without adhesive border, each dressing |
| A6254-HCPCS | Low | Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing |
| A6255-HCPCS | Low | Specialty absorptive 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 A6254. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6254 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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