2025 HCPCS code A6584
(Active) Effective Date: N/A Medical Supplies - Compression Garments and Stockings Medical and Surgical Supplies Feed
Supply of a gradient compression wrap with adjustable straps.
Modifiers may be applicable depending on the specific circumstances, such as the location of service and the type of provider.Refer to CMS guidelines for applicable modifiers.
The medical necessity for a gradient compression wrap is established by a physician's diagnosis of lymphedema or a similar condition where compression therapy is indicated to reduce swelling, improve lymphatic drainage, and manage symptoms.
The clinical responsibility lies with the physician or qualified healthcare professional who diagnoses the lymphedema and orders the appropriate compression therapy. The supplier is responsible for providing the correct wrap and ensuring proper fitting.
In simple words: This code covers the cost of a special bandage that helps with swelling (lymphedema) in the arms or legs.It's a stretchy wrap that's tighter on one end to push fluid back towards the heart.
This HCPCS code represents the supply of a gradient compression wrap featuring adjustable straps.The wrap utilizes graduated compression, applying greater pressure at one end and gradually decreasing pressure towards the other. This design promotes lymphatic drainage in patients with lymphedema by encouraging fluid return to compromised lymph vessels.This code is used when no more specific code exists for the supplied wrap.
Example 1: A patient presents with lower extremity lymphedema following breast cancer surgery. The physician orders a gradient compression wrap to manage swelling. Code A6584 is used to bill for the supply of the wrap.Documentation includes the physician's order specifying the type of wrap, measurements of the affected limb, and the patient's diagnosis. The supplier documentation also includes the wrap’s manufacturer, product name, and price., A patient with upper extremity lymphedema due to filariasis receives a custom-fit gradient compression wrap.Since this is not a standard wrap, Code A6584 is billed with detailed documentation clarifying its unique specifications.The documentation should include the patient's diagnosis, the physician's order for the custom wrap, the measurements of the limb, specifics about the wrap's material and construction, the manufacturer, product name and price, and a justification for the medical necessity of a custom wrap., A patient with lipedema is prescribed a gradient compression wrap for pain management and improved circulation. The physician’s notes justify the use of the wrap in the treatment plan.The claim includes Code A6584, along with detailed documentation specifying the size, material, and the supplier's price for the wrap.The documentation should include the diagnosis of lipedema, the physician’s order, and a description of why a gradient compression wrap is medically necessary.
* Physician's order specifying the type of compression wrap.* Patient's diagnosis of lymphedema or other relevant condition.* Measurements of the affected limb(s).* Manufacturer name and product information for the wrap.* Supplier's price list and the price charged.* Documentation indicating medical necessity for the wrap.* Detailed description of the wrap, including any custom modifications.
** This code is intended for use when a more specific HCPCS code is not available for the supplied gradient compression wrap.The detailed narrative requirements are crucial for proper claim processing and reimbursement.
- Payment Status: Active
- Specialties:Lymphology, Oncology, Surgery, Vascular Surgery
- Place of Service:Office, Home Healthcare, Durable Medical Equipment (DME) Supplier