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See a sample rate comparisonHCPCS A6412 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.
Eye patch, occlusive, each
| 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 A6412 |
National average reimbursement for HCPCS A6412 by major payers:
$1.39
$0.27
$0.27
$3.64
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HCPCS A6412
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$0.95Published rateHamilton Medical Center, Inc.
Hamilton Medical Center Inc
$0.31Published rateJacob Holloway
$0.21Published rateLower Oconee Community Hospital Inc
$0.20Published rateWildwood Sanitarium, Incorporated, Wildwood Lifestyle Center And Hospital
Wildwood Sanitarium Incorporated
$0.12Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A6412 vs. Other Other Dressings, Coverings, and Wound Treatment Supplies Codes
The HCPCS A6412 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 A6412 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 |
|---|---|---|
| A6411-HCPCS | Low | Eye pad, non-sterile, each |
| A6412-HCPCS | Low | Eye patch, occlusive, each |
| A6413-HCPCS | Low | Adhesive bandage, first-aid type, any size, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A6412. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A6412 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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