Dynamic List Information
Dynamic List Data
HCPCS Code
A6251
On Master List?
Yes
Prior Authorization Required?
No
PA Effective Dates
N/A
F2F and Written Order Prior to Delivery?
No
F2F and WOPD Effective Dates
N/A
Description: Specialty absorptive dressing, wound cover, sterile, pad size 16 square inch, or less, without adhesive border, each dressing