2025 HCPCS code A6560
(New) Effective Date: N/A Medical and Surgical Supplies - Compression Garments and Stockings Feed
Gradient compression stocking, full length/chap style, 30-40 mmHg, custom.
Medical necessity must be established by the diagnosis. Conditions such as lymphedema, venous insufficiency, or post-thrombotic syndrome may justify the need for gradient compression stockings. Documentation should support the severity of the condition and the need for custom fitting.
In simple words: This is a custom-made compression stocking that covers the full leg or chap style, applying 30-40 mmHg of pressure to help improve blood flow. It's specifically designed to fit the individual's leg precisely.
Gradient compression stocking, full length/chap style, applying 30-40 mmHg pressure, custom fitted for individual patient.
Example 1: A patient with lymphedema in their left leg requires a custom-fitted compression stocking to manage swelling and improve lymphatic drainage. The physician prescribes a full-length, 30-40 mmHg gradient compression stocking (A6560) tailored to the patient's measurements., A patient with chronic venous insufficiency experiences leg pain and swelling. Their doctor recommends a 30-40 mmHg gradient compression stocking, chap style (A6560), custom-made to fit their leg, to alleviate symptoms and promote venous return., Following surgery, a patient is at risk of developing deep vein thrombosis. As a preventative measure, the physician orders a custom-fitted, 30-40 mmHg gradient compression stocking (A6560) for the affected leg.
Diagnosis supporting the medical necessity of the compression stocking (e.g., lymphedema, chronic venous insufficiency), measurements of the patient's leg to justify custom fitting, and physician's order specifying the type and pressure of the stocking.
- Specialties:Vascular surgery, physical medicine and rehabilitation, lymphology, dermatology, oncology.
- Place of Service:Office, Home, Inpatient Hospital, Skilled Nursing Facility, Outpatient Hospital, Ambulatory Surgical Center