A6021 Collagen dressing <=16 sq inCollagen dressing, sterile, size 16 sq. in. or less, each
Status X: statutory exclusion, not paid under the PFS.
2 of 2 payer prior-auth lists that name A6021 require prior authorization or set conditions: Blue Cross Blue Shield of Arizona (AZ Blue), Medicare.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Blue Cross Blue Shield of Arizona (AZ Blue) | AZ Blue-administered Medicare Advantage (M2K) | AZ | prior auth required | Sep 1, 2026 | AZ Blue Medicare Advantage Prior Authorization Requirements Code List (Effective 09/01/2026) | |
| Medicare | DMEPOS Master List (items potentially subject to PA) | All | prior auth under conditions | On the Master List; PA only if CMS selects it for the Required List | Jul 30, 2026 | Master List of DMEPOS Items Potentially Subject to Face-to-Face Encounter and Written Order Prior to Delivery and/or Prior Authorization Requirements |
A6021 appears in 2 coverage policies from Aetna.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Dialysis (0541) | covered if criteria are met (range A6010-A6457) | Aug 26, 2026 | payer document |
| Aetna | Surgical Devices, Dressings, and Wound Care Supplies (0526) | listed, no stance (range A6021-A6024) | Aug 26, 2026 | payer document |
Prior authorization required or conditional in CO, KY, LA, MA, NY, OH, VA.
From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.