HCPCS Range Compression Garments and Stockings

• 1 Compression burn garment, bodysuit (head to foot), custom fabricated ( A6501 )

• 2 Compression burn garment, chin strap, custom fabricated ( A6502 )

• 3 Compression burn garment, facial hood, custom fabricated ( A6503 )

• 4 Compression burn garment, glove to wrist, custom fabricated ( A6504 )

• 5 Compression burn garment, glove to elbow, custom fabricated ( A6505 )

• 6 Compression burn garment, glove to axilla, custom fabricated ( A6506 )

• 7 Compression burn garment, foot to knee length, custom fabricated ( A6507 )

• 8 Compression burn garment, foot to thigh length, custom fabricated ( A6508 )

• 9 Compression burn garment, upper trunk to waist including arm openings (vest), custom fabricated ( A6509 )

• 10 Compression burn garment, trunk, including arms down to leg openings (leotard), custom fabricated ( A6510 )

• 11 Compression burn garment, lower trunk including leg openings (panty), custom fabricated ( A6511 )

• 12 Compression burn garment, not otherwise classified ( A6512 )

• 13 Compression burn mask, face and/or neck, plastic or equal, custom fabricated ( A6513 )

• 14 Gradient compression stocking, below knee, 18-30 mmHg, each ( A6530 )

• 15 Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each ( A6531 )

• 16 Gradient compression stocking, below knee, 40-50 mmhg, used as a surgical dressing, each ( A6532 )

• 17 Gradient compression stocking, thigh length, 18-30 mmHg, each ( A6533 )

• 18 Gradient compression stocking, thigh length, 30-40 mmHg, each ( A6534 )

• 19 Gradient compression stocking, thigh length, 40 mmhg or greater, each ( A6535 )

• 20 Gradient compression stocking, full length/chap style, 18-30 mmHg, each ( A6536 )

• 21 Gradient compression stocking, full length/chap style, 30-40 mmHg, each ( A6537 )

• 22 Gradient compression stocking, full length/chap style, 40 mmhg or greater, each ( A6538 )

• 23 Gradient compression stocking, waist length, 18-30 mmHg, each ( A6539 )

• 24 Gradient compression stocking, waist length, 30-40 mmHg, each ( A6540 )

• 25 Gradient compression stocking, waist length, 40 mmhg or greater, each ( A6541 )

• 26 Gradient compression stocking, garter belt ( A6544 )

• 27 Gradient compression wrap, non-elastic, below knee, 30-50 mmhg, used as a surgical dressing, each ( A6545 )

• 28 Gradient compression garment, not otherwise specified ( A6549 )

• 29 Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories ( A6550 )

• 30 External urinary catheters; disposable, with wicking material, for use with suction pump, per month ( A6590 )

• 31 External urinary catheter; non-disposable, for use with suction pump, per month ( A6591 )

• 32 Gradient compression garment, glove, padded, for nighttime use, each ( A6520 )

• 33 Gradient compression garment, glove, padded, for nighttime use, custom, each ( A6521 )

• 34 Gradient compression garment, arm, padded, for nighttime use, each ( A6522 )

• 35 Gradient compression garment, arm, padded, for nighttime use, custom, each ( A6523 )

• 36 Gradient compression garment, lower leg and foot, padded, for nighttime use, each ( A6524 )

• 37 Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each ( A6525 )

• 38 Gradient compression garment, full leg and foot, padded, for nighttime use, each ( A6526 )

• 39 Gradient compression garment, full leg and foot, padded, for nighttime use, custom, each ( A6527 )

• 40 Gradient compression garment, bra, for nighttime use, each ( A6528 )

• 41 Gradient compression garment, bra, for nighttime use, custom, each ( A6529 )

• 42 Gradient compression stocking, below knee, 30-40 mmhg, each ( A6552 )

• 43 Gradient compression stocking, below knee, 30-40 mmhg, custom, each ( A6553 )

• 44 Gradient compression stocking, below knee, 40 mmhg or greater, each ( A6554 )

• 45 Gradient compression stocking, below knee, 40 mmhg or greater, custom, each ( A6555 )

• 46 Gradient compression stocking, thigh length, 18-30 mmhg, custom, each ( A6556 )

• 47 Gradient compression stocking, thigh length, 30-40 mmhg, custom, each ( A6557 )

• 48 Gradient compression stocking, thigh length, 40 mmhg or greater, custom, each ( A6558 )

• 49 Gradient compression stocking, full length/chap style, 18-30 mmhg, custom, each ( A6559 )

• 50 Gradient compression stocking, full length/chap style, 30-40 mmhg, custom, each ( A6560 )

• 51 Gradient compression stocking, full length/chap style, 40 mmhg or greater, custom, each ( A6561 )

• 52 Gradient compression stocking, waist length, 18-30 mmhg, custom, each ( A6562 )

• 53 Gradient compression stocking, waist length, 30-40 mmhg, custom, each ( A6563 )

• 54 Gradient compression stocking, waist length, 40 mmhg or greater, custom, each ( A6564 )

• 55 Gradient compression gauntlet, custom, each ( A6565 )

• 56 Gradient compression garment, neck/head, each ( A6566 )

• 57 Gradient compression garment, neck/head, custom, each ( A6567 )

• 58 Gradient compression garment, torso and shoulder, each ( A6568 )

• 59 Gradient compression garment, torso/shoulder, custom, each ( A6569 )

• 60 Gradient compression garment, genital region, each ( A6570 )

• 61 Gradient compression garment, genital region, custom, each ( A6571 )

• 62 Gradient compression garment, toe caps, each ( A6572 )

• 63 Gradient compression garment, toe caps, custom, each ( A6573 )

• 64 Gradient compression arm sleeve and glove combination, custom, each ( A6574 )

• 65 Gradient compression arm sleeve and glove combination, each ( A6575 )

• 66 Gradient compression arm sleeve, custom, medium weight, each ( A6576 )

• 67 Gradient compression arm sleeve, custom, heavy weight, each ( A6577 )

• 68 Gradient compression arm sleeve, each ( A6578 )

• 69 Gradient compression glove, custom, medium weight, each ( A6579 )

• 70 Gradient compression glove, custom, heavy weight, each ( A6580 )

• 71 Gradient compression glove, each ( A6581 )

• 72 Gradient compression gauntlet, each ( A6582 )

• 73 Gradient compression wrap with adjustable straps, below knee, 30-50 mmhg, each ( A6583 )

• 74 Gradient compression wrap with adjustable straps, not otherwise specified ( A6584 )

• 75 Gradient pressure wrap with adjustable straps, above knee, each ( A6585 )

• 76 Gradient pressure wrap with adjustable straps, full leg, each ( A6586 )

• 77 Gradient pressure wrap with adjustable straps, foot, each ( A6587 )

• 78 Gradient pressure wrap with adjustable straps, arm, each ( A6588 )

• 79 Gradient pressure wrap with adjustable straps, bra, each ( A6589 )

• 80 Accessory for gradient compression garment or wrap with adjustable straps, non-otherwise specified ( A6593 )

• 81 Gradient compression bandaging supply, bandage liner, lower extremity, any size or length, each ( A6594 )

• 82 Gradient compression bandaging supply, bandage liner, upper extremity, any size or length, each ( A6595 )

• 83 Gradient compression bandaging supply, conforming gauze, per linear yard, any width, each ( A6596 )

• 84 Gradient compression bandage roll, elastic long stretch, linear yard, any width, each ( A6597 )

• 85 Gradient compression bandage roll, elastic medium stretch, per linear yard, any width, each ( A6598 )

• 86 Gradient compression bandage roll, inelastic short stretch, per linear yard, any width, each ( A6599 )

• 87 Gradient compression bandaging supply, high density foam sheet, per 250 square centimeters, each ( A6600 )

• 88 Gradient compression bandaging supply, high density foam pad, any size or shape, each ( A6601 )

• 89 Gradient compression bandaging supply, high density foam roll for bandage, per linear yard, any width, each ( A6602 )

• 90 Gradient compression bandaging supply, low density channel foam sheet, per 250 square centimeters, each ( A6603 )

• 91 Gradient compression bandaging supply, low density flat foam sheet, per 250 square centimeters, each ( A6604 )

• 92 Gradient compression bandaging supply, padded foam, per linear yard, any width, each ( A6605 )

• 93 Gradient compression bandaging supply, padded textile, per linear yard, any width, each ( A6606 )

• 94 Gradient compression bandaging supply, tubular protective absorption layer, per linear yard, any width, each ( A6607 )

• 95 Gradient compression bandaging supply, tubular protective absorption padded layer, per linear yard, any width, each ( A6608 )

• 96 Gradient compression bandaging supply, not otherwise specified ( A6609 )

• 97 Gradient compression stocking, below knee, 18-30 mmhg, custom, each ( A6610 )