Surgical Dressings
National · Effective Jan 1, 2024
2 active Medicare policies list A4649, and 5 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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National · Effective Jan 1, 2024
National · Effective Dec 4, 2025
5 policies from 3 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of A4649 |
|---|---|---|
| Implantable Shock Absorber for Treatment of Knee Osteoarthritis | Apr 15, 2026 | Not covered |
| Prefabricated External Infant Ear Molding Systems | Apr 15, 2026 | Covered |
| Silver-based Products for Wound and Soft Tissue Applications | Jan 6, 2026 | Not covered |
| Policy | Effective | Status of A4649 |
|---|---|---|
| Surgical Devices, Dressings, and Wound Care Supplies | Jul 20, 2023 | Covered |
| Policy | Effective | Status of A4649 |
|---|---|---|
| Cigna Medicare Advantage Durable Medical Equipment Code List - Effective 01/01/2025 | Jan 1, 2025 | Prior auth required |