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Coverage is explained by the following articles: Local Coverage Determination (LCD) Surgical Dressings (L33831) [16], and Local Coverage Article: Surgical Dressings - Policy Article (A54563) [17] Zinc Paste Impregnated Bandage (Unna boot) HCPCS: A6456 - Zinc paste impregnated bandage, non-elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard Coverage requirements: VLU that meet the statutory requirements for a qualifying wound (surgically created/modified, or debrided)
work wearhigh quality
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