A6154 — Wound pouch, each
A6154 is a HCPCS Level II code for wound pouch, each. It belongs to the Transportation, Medical & Surgical Supplies, Administrative section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusP
Bundled or excluded. No RVUs and no payment: either bundled into another service or paid under a different provision of the Act.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
Medically Unlikely Edits — units per day
The most units of A6154 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- outpatient
- 1 unit MAI 3 — Date of Service Edit: Clinical · Clinical: CMS Workgroup
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for A6154
- Long descriptor
- Wound pouch, each
- Short descriptor
- Wound pouch each
- Added
- January 1, 1997
- BETOS
- D1A
- Pricing indicator
- 35 — DMEPOS
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Surgical dressings. Price subject to floors and ceilings.
Codes adjacent to A6154
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If A6154 is not quite right, the correct code is very often within a few positions of it.
- A6000Non-contact wound warming wound cover for use with the non-contact wound warming device and warming card
- A6010Collagen based wound filler, dry form, sterile, per gram of collagen
- A6011Collagen based wound filler, gel/paste, per gram of collagen
- A6021Collagen dressing, sterile, size 16 sq. in. or less, each
- A6022Collagen dressing, sterile, size more than 16 sq. in. but less than or equal to 48 sq. in., each
- A6023Collagen dressing, sterile, size more than 48 sq. in., each
- A6024Collagen dressing wound filler, sterile, per 6 inches
- A6025Gel sheet for dermal or epidermal application, (e.g., silicone, hydrogel, other), each
- A6196Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing
- A6197Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing
- A6198Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq. in., each dressing
- A6199Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches
- A6203Composite dressing, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing
- A6204Composite dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing
- A6205Composite dressing, sterile, pad size more than 48 sq. in., with any size adhesive border, each dressing
- A6206Contact layer, sterile, 16 sq. in. or less, each dressing
Questions about A6154
What is HCPCS code A6154?
A6154 is a HCPCS Level II code for wound pouch, each. It sits in the Transportation, Medical & Surgical Supplies, Administrative section.
Does Medicare cover A6154?
The CMS HCPCS file marks A6154 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
How is A6154 paid under the physician fee schedule?
A6154 carries PFS status code P. Bundled or excluded. No RVUs and no payment: either bundled into another service or paid under a different provision of the Act.