A6412 — Eye patch, occlusive, each
A6412 is a HCPCS Level II code for eye patch, occlusive, each. It belongs to the Transportation, Medical & Surgical Supplies, Administrative section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
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 statusX
Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.
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 A6412 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
- 2 units MAI 3 — Date of Service Edit: Clinical · Clinical: CMS Workgroup
- DME supplier
- 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 A6412
- Long descriptor
- Eye patch, occlusive, each
- Short descriptor
- Occlusive eye patch
- Added
- January 1, 2003
- BETOS
- Z2
- Pricing indicator
- 00 — Not priced by Part B
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.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to A6412
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If A6412 is not quite right, the correct code is very often within a few positions of it.
- A6262Wound filler, dry form, per gram, not otherwise specified
- A6266Gauze, impregnated, other than water, normal saline, or zinc paste, sterile, any width, per linear yard
- A6402Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing
- A6403Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing
- A6404Gauze, non-impregnated, sterile, pad size more than 48 sq. in., without adhesive border, each dressing
- A6407Packing strips, non-impregnated, sterile, up to 2 inches in width, per linear yard
- A6410Eye pad, sterile, each
- A6411Eye pad, non-sterile, each
- A6413Adhesive bandage, first-aid type, any size, each
- A6441Padding bandage, non-elastic, non-woven/non-knitted, width greater than or equal to three inches and less than five inches, per yard
- A6442Conforming bandage, non-elastic, knitted/woven, non-sterile, width less than three inches, per yard
- A6443Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard
- A6444Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to 5 inches, per yard
- A6445Conforming bandage, non-elastic, knitted/woven, sterile, width less than three inches, per yard
- A6446Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard
- A6447Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to five inches, per yard
Questions about A6412
What is HCPCS code A6412?
A6412 is a HCPCS Level II code for eye patch, occlusive, each. It sits in the Transportation, Medical & Surgical Supplies, Administrative section.
Does Medicare cover A6412?
The CMS HCPCS file marks A6412 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
How is A6412 paid under the physician fee schedule?
A6412 carries PFS status code X. Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.