Coding and coverage resources.
Coding information is provided for reference. Confirm the applicable product code, payer policy, benefit requirements, billing setting and documentation before submitting a claim. A HCPCS code does not guarantee coverage or payment.
By product
| Product | HCPCS | Coverage notes |
|---|---|---|
| Advanced Diabetic Wound Hydrogel 3 fl oz (90 ml) |
A6248 | Under the Medicare surgical dressings LCD, more than 3 fluid ounces per wound in 30 days needs documented medical necessity. It is not a monthly entitlement: clinical and benefit criteria apply. |
| Advanced MultiCare Hydrogel 3 fl oz (90 ml) |
A6248 | Under the Medicare surgical dressings LCD, more than 3 fluid ounces per wound in 30 days needs documented medical necessity. It is not a monthly entitlement: clinical and benefit criteria apply. |
Dressings applied as part of a billed professional service are not separately payable under that policy. Confirm the code assignment for each product with the payer. For coding questions, contact our team.
A6248 under the 2026 DMEPOS fee schedule
Per fluid ounce
Medicare allowable for A6248 in most states (2026). Alaska, Hawaii and Puerto Rico are higher.
For a 3 fl oz tube
Three fluid ounces at the 2026 allowable. Payment depends on the payer, coverage criteria and documentation.
Per wound, per 30 days
Above this, the surgical dressings LCD requires documentation of medical necessity.
Three ways to supply Lavior
Through a DME partner
The DME supplier verifies coverage, bills and ships to the patient. See our DME partners.
With your own DME license
Buy from Lavior or a distributor and bill the payer directly.
In the office
Applied during a visit, the dressing is part of the professional service and is not billed separately.
Sources: CMS DMEPOS fee schedule, October 2026 (DME26-D); Surgical Dressings LCD (L33831) and its policy article (A54563). Fee schedule amounts are updated by CMS and vary by state. A HCPCS code does not guarantee coverage or payment. Page reviewed October 12, 2026.
The setting decides how a product is billed
Supplies for home use
Dressings furnished to a patient for home dressing changes may be billed under the surgical dressings benefit, where the benefit, qualifying wound and documentation requirements are met.
Applied in the office
Dressings applied during a billed professional service are included in that service and are not separately payable under the Medicare surgical dressings policy.
Review before you submit
Confirm the product code, payer policy, benefit, billing setting and documentation for your situation before submitting any claim.
Talk to our team
We can share coding reference information. Coverage and payment are decided by the payer.
Questions about billing?
Our team can share coding reference information for your practice setting.
The coding and coverage information on this page is provided for general informational purposes only. It is not legal, billing, coding or reimbursement advice, and it is not a guarantee of coverage or payment. Lavior™ is not a billing, coding or reimbursement company and does not submit claims on anyone’s behalf.
HCPCS codes, fee schedule amounts and payer policies change and vary by payer, state and setting. The provider or supplier is solely responsible for selecting the appropriate codes, confirming coverage and documentation requirements, and for the accuracy of every claim submitted. Before billing, confirm the requirements with your billing company or coding professional and with the applicable payer.
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