HCPCS Level II · Transportation, medical and surgical supplies
A6403Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing
✓ Active
Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.
About A6403
A6403 is an HCPCS Level II code in the A series (transportation, medical and surgical supplies), describing gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing.
It was added to HCPCS effective 01/01/1997, and its current record took effect 01/01/2003.
Its Medicare coverage code is "D", meaning special Medicare coverage instructions apply.
Details
- Short description
- Sterile gauze>16 <= 48 sq in
- Date added
- 01/01/1997
- Action effective
- 01/01/2003
- BETOS
- D1A
Related A64xx codes
- A6402Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
- A6404Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
- A6407Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard
- A6410Eye pad, sterile, each
- A6411Eye pad, non-sterile, each
- A6412Eye patch, occlusive, each
- A6413Adhesive bandage, first-aid type, any size, each
- A6441Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard
- A6442Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard
- A6443Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard
- A6444Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard
- A6445Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard
Common questions about A6403
Is HCPCS A6403 still valid?
- Yes. A6403 is active in the CMS October 2026 HCPCS file.
Does Medicare cover A6403?
- Its coverage code is "D": special Medicare coverage instructions apply. Check the local coverage determination for your region.