| A6154 | Wound pouch, each |
| A6215 | Foam dressing, wound filler, sterile, per gram |
| A6260 | Wound cleansers, any type, any size |
| A9272 | Wound suction, disposable, includes dressing, all accessories and components, any type, each |
| Q4161 | Bio-connekt wound matrix, per square centimeter |
| A6231 | Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size 16 sq. in. or less, each dressing |
| A6233 | Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size more than 48 sq. in., each dressing |
| A6243 | Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing |
| A6246 | Hydrogel dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing |
| A6235 | Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing |
| A6238 | Hydrocolloid dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing |
| K0744 | Absorptive wound dressing for use with suction pump, home model, portable, pad size 16 square inches or less |
| K0745 | Absorptive wound dressing for use with suction pump, home model, portable, pad size more than 16 square inches but less than or equal to 48 square inches |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care |
| E0769 | Electrical stimulation or electromagnetic wound treatment device, not otherwise classified |
| A6196 | Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing |
| A6198 | Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 48 sq. in., each dressing |
| A6197 | Alginate 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 |
| A6199 | Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches |
| C5271 | Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area |
| C5275 | Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area |
| Q4114 | Integra flowable wound matrix, injectable, 1 cc |
| G0282 | Electrical stimulation, (unattended), to one or more areas, for wound care other than described in g0281 |
| A6232 | Gauze, impregnated, hydrogel, for direct wound contact, sterile, pad size greater than 16 sq. in., but less than or equal to 48 sq. in., each dressing |
| K0746 | Absorptive wound dressing for use with suction pump, home model, portable, pad size greater than 48 square inches |
| A6241 | Hydrocolloid dressing, wound filler, dry form, sterile, per gram |
| A6240 | Hydrocolloid dressing, wound filler, paste, sterile, per ounce |
| C5273 | Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children |
| C5277 | Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children |
| Q4119 | Matristem wound matrix, per square centimeter |
| Q4104 | Integra bilayer matrix wound dressing (bmwd), per square centimeter |
| S0630 | Removal of sutures; by a physician other than the physician who originally closed the wound |
| C9363 | Skin substitute, integra meshed bilayer wound matrix, per square centimeter |
| A2002 | Mirragen advanced wound matrix, per square centimeter |
| A6460 | Synthetic resorbable wound dressing, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing |
| A6461 | Synthetic resorbable wound dressing, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing |
| S9097 | Home visit for wound care |
| Q4162 | Woundex flow, bioskin flow, 0.5 cc |
| K0743 | Suction pump, home model, portable, for use on wounds |
