HCPCS Level IIsuppliesActive
A6454
Self-adher band w>=3" <5"/yd
BETOS: D1A
Effective: 2004-01-01
Referenced in 1 policies
Description
Self-adherent bandage, elastic, non-knitted/non-woven, width greater than or equal to three inches and less than five inches, per yard
Medicare Fee Schedule
2026 Medicare Physician Fee Schedule national payment rates
Statutory Exclusion
This code has a statutory exclusion from Medicare coverage.
Coverage Policies