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 the CPT code for compression socks?

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.

What is the correct code for two thigh high surgical stockings?

HCPCS Code A6535 A6535 is a valid 2022 HCPCS code for Gradient compression stocking, thigh length, 40-50 mmhg, each or just “Gc stocking thighlngth 40-50” for short, used in Lump sum purchase of DME, prosthetics, orthotics.

Is A6531 covered by Medicare?

NOTE: HCPCS A6531, A6532, A6545 are the only compression device codes that may be eligible for coverage under Medicare.

What is 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 a gradient compression stocking?

Gradient compression stockings help return blood to your heart by compressing (squeezing) your leg muscles. This gently squeezes your veins and helps to push your blood in the right direction. • ‘Gradient compression’ means that the amount of compression in the stocking gradually changes.

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.

Does Medicare cover compression bras?

A. Currently Medicare does NOT cover any compression garments for lower extremities.

Who should not use compression stockings?

“If you have peripheral vascular disease affecting your lower extremities, you should not wear compression socks,” he says. “The pressure provided by compression socks may make ischemic disease worse.

What does HCPCS code a6532 mean?

HCPCS Code Details – A6532 HCPCS Code A6532 Type of service P – Lump sum purchase of DME, prosthetic Effective date Effective Jan 01, 2006 Date added Added Jan 01, 2006

What is the cost of A6545 compression wrap?

A6545 Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, carries an average reimbursement rate of $95.00 each. When using to treat an open ulcer, it should be billed with an AW modifier indicating it is furnished with a surgical dressing.

Is A6545 covered by Medicare?

Under Medicare guidelines A6545 falls under the category of surgical dressings, and is covered when used in the treatment of open venous stasis ulcer. It is not covered when used for other indications such as the prevention of stasis ulcer, venous insufficiency, or treatment of lymphedema without the presence of an ulcer.

Why was my a4450 claim rejected?

Claims for tape (A4450 and A4452) which are billed without an AW modifier (see Coding Guidelines section) or another modifier indicating coverage under a different policy will be rejected as missing information. When dressings are covered under other Medicare benefits, there is no separate payment using surgical dressing codes.