In simple words: This code is for a special type of compression garment used to help reduce swelling, especially in conditions like lymphedema, where the body's fluid drainage system isn't working properly.It's used when there isn't a more specific code for the type of garment needed.

This code represents the supply of a gradient compression garment that is not represented by another, more specific HCPCS code. Gradient compression means the garment squeezes more tightly at one end and less so at the other, creating a gradient to encourage lymph drainage or reduce edema (swelling).

Example 1: A patient with lymphedema in the arm requires a gradient compression sleeve, and no other HCPCS code accurately describes the specific garment supplied., A patient post-surgery requires a gradient compression garment for edema reduction in the leg, but the specific type of garment does not have a dedicated code., A patient with venous insufficiency requires a gradient compression stocking not otherwise described by a specific code.

Claims for A6549 must include in the narrative field: description of the item (including quantity and unit of measure), manufacturer name, product name and number, supplier price list, and related HCPCS (if applicable).

** Effective January 1, 2024, specific HCPCS codes were established for lymphedema compression treatment items. It is important to select the most specific code, using A6549 only when a more appropriate code does not exist.For lymphedema compression treatment items, refer to the appropriate coding guidelines and ensure proper documentation.