Surgical Dressings

Medicare covers surgical dressings (primary and secondary) when they are reasonable and necessary for specified wound types and meet Medicare statutory and regulatory requirements; coverage is defined by product type, wound depth (e.g., full thickness/stage 3–4), and exudate level. Specific HCPCS-coded dressing types have defined allowable uses, change frequencies, quantity limits (e.g., A6248 max 3 fl oz/30 days, gradient wrap one per 6 months per leg), and numerous exclusions including materials not recognized as effective and inappropriate dressing combinations; suppliers must maintain SWOs, proof of delivery, and documented refill affirmations.

"Medicare covers surgical dressings that are reasonable and necessary for diagnosis or treatment of illness or injury, for improving function of a malformed body member, and that meet all other Medi..."

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