What is CPT code A6549?

A6549 is a valid 2022 HCPCS code for Gradient compression stocking/sleeve, not otherwise specified or just “G compression stocking” for short, used in Lump sum purchase of DME, prosthetics, orthotics.

Are Compression Garments considered DME?

A compression garment (stocking/burn garment/gradient pressure aid garment/sleeve) is a typically fitted elastic support garment that is fabricated to apply varying pressure gradients to an area. These garments are considered Durable Medical Equipment (DME).

What is CPT code A6530?

HCPCS code A6530 for Gradient compression stocking, below knee, 18-30 mmHg, each as maintained by CMS falls under Compression Garments and Stockings .

What is CPT A6545?

HCPCS code A6545 for Gradient compression wrap, non-elastic, below knee, 30-50 mmHg, each as maintained by CMS falls under Compression Garments and Stockings .

How do I bill A6545?

Instead, the A6545 code must have an -AW modifier appended to it (Item furnished in conjunction with a surgical dressing.). The -AW modifier should only be used with codes for certain compression garments, including EXTREMIT-EASE, and tape codes A4450 and A4452.

Is A4467 covered by Medicare?

Elastic or other fabric support garments (A4467 (BELT, STRAP, SLEEVE, GARMENT, OR COVERING, ANYTYPE)) with or without stays or panels do not meet the statutory definition of a brace because they are not rigid or semi-rigid devices. Code A4467 is denied as noncovered (no Medicare benefit).

How do you bill compression stockings?

When billing HCPCS codes A6530 to A6538 for gradient compression stockings, report the appropriate modifier (left — LT, right — RT). When the same code for bilateral items (left and right) is billed on the same date of service, bill both items on the same claim line using LT and RT modifiers, and two units of service.

What is CPT E1399?

HCPCS code E1399 describes “durable medical equipment, miscellaneous” and is currently being used to bill for inexpensive DME subject to the rules of 42 C.F.R.

Does Medicare pay for leg compression devices?

Original Medicare does not recognize compression socks/stockings as durable medical equipment (DME) and therefore does not provide coverage for the legwear. However, some Medicare Advantage plans provide some coverage for over-the-counter medical expenses, which may include compression socks and stockings.

What is the CPT code for compression stockings?

CPT Codes For Compression Stockings (CPT A6531 & CPT A6532) Prevention of the reoccurrence of stasis ulcers that have healed, Treatment of lymphedema in the absence of ulcers.