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Changes to Dressing Limitations for Certain Wound Care Claims

August 22, 2017

Effective April 1, 2017, wound care claims billed with HCPCS codes A6021 (collagen dressing, sterile, size 16 sq. in. or less, each) and A6022 (collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each) are no longer limited to four Endoform dressings. Products billed with HCPCS codes A6021 and A6022 are limited to 10 dressings per wound per 27-day period, up to 90-day duration of therapy. The list of Medical Supplies Billing Codes, Units and Quantity Limits spreadsheet will be updated at a later date.