A6404 Sterile gauze > 48 sq in

Full Description

Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without

Code
A6404
Short Description
Sterile gauze > 48 sq in
Section
A — Transportation Services and Medical Supplies
Pricing Indicator
35
Source: CMS HCPCS October 2026 quarterly release.

Last reviewed: September 2026