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See a sample rate comparisonHCPCS A6403 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, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without 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 A6403 |
National average reimbursement for HCPCS A6403 by major payers:
$0.48
$0.32
$0.40
$0.79
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HCPCS A6403
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1.08Published rateChu Chen
$0.56Published rateHospital Authority Of Mitchell County, Mitchell County Hospital
Hospital Authority Of Mitchell County
$0.28Published rateDodge County Hospital Authority, Dodge County Hospital
Dodge County Hospital Authority
$0.28Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$0.18Published rate
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See a sample payer proposalHCPCS A6403 vs. Other Other Dressings, Coverings, and Wound Treatment Supplies Codes
The HCPCS A6403 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 A6403 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 |
|---|---|---|
| A6402-HCPCS | Low | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
| A6403-HCPCS | Low | Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing |
| A6404-HCPCS | Low | Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without 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 A6403. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6403 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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