2025 HCPCS code A6609
(New) Effective Date: N/A Medical Supplies - Compression Garments and Stockings Medical and Surgical Supplies Feed
Gradient compression bandaging supply, not otherwise specified.
Modifiers may be applicable depending on the specific circumstances and payer requirements. For example, modifiers could indicate the location (e.g., left or right side), or multiple procedures. Consult payer guidelines for applicable modifiers.
Medical necessity for A6609 is established by the presence of lymphedema, edema (swelling), or other conditions requiring gradient compression therapy, as supported by clinical documentation showing the patient's condition and the need for the specific type of bandage.
The clinical responsibility lies with the physician or qualified healthcare professional who orders and oversees the application of the compression bandaging to manage lymphedema or edema.
- Medical and Surgical Supplies
- A6609 falls under the broader category of Compression Garments and Stockings within HCPCS Level II codes beginning with 'A'.
In simple words: This code is for a special bandage that squeezes more tightly in one area than another to help reduce swelling.It's used when there isn't a more specific code for the type of bandage.
This HCPCS code represents a gradient compression bandaging supply that does not have a more specific code.Gradient compression involves tighter squeezing at one end of the garment and less at the other, encouraging lymph drainage in lymphedema or fluid return to reduce edema.
Example 1: A patient presents with lower extremity lymphedema post-mastectomy. The physician orders custom gradient compression bandages to manage the swelling. A6609 would be used to bill for the supply, specifying the type and quantity in the claim narrative., A patient with chronic venous insufficiency experiences significant lower leg edema. The physician prescribes a multi-layered gradient compression bandaging system to improve venous return.A6609 would be reported for the supplies used, detailing each component separately if necessary., A patient with lipoedema seeks treatment for significant lower body swelling. The physician and certified lymphedema therapist utilize a combination of manual lymphatic drainage and gradient compression bandaging.A6609 is reported for the supply of custom-fit bandages.
** This code is intended to cover supplies not otherwise specified within the HCPCS system.Always ensure accurate and complete documentation to support medical necessity.
- Payment Status: Active
- Specialties:Lymphology, Vascular Surgery, Oncology, Physical Medicine and Rehabilitation
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center, Home Healthcare