2025 HCPCS code A6610
(Active) Effective Date: N/A Revision Date: N/A Medical Supplies - Compression Garments and Stockings Medical and Surgical Supplies Feed
Supply of a custom gradient compression stocking below the knee, applying 18-30 mmHg pressure.
Modifiers may be applicable depending on the circumstances of service. Consult the CMS HCPCS guidelines for appropriate modifier usage.
Medical necessity for A6610 is established when the patient has a documented diagnosis requiring gradient compression therapy (e.g., lymphedema, venous insufficiency). The necessity should be justified by its impact on the patient’s functional status and quality of life.
The clinical responsibility lies with the physician or other qualified healthcare professional who orders and manages the lymphedema treatment.This includes assessment of lymphedema, measuring for the stocking, and monitoring the patient's response to treatment.The supplier is responsible for accurate fitting and provision of the stocking.
In simple words: This code covers the cost of a special custom-made stocking that helps with lymphatic drainage.The stocking provides different levels of pressure to improve fluid flow in the leg.
This HCPCS code represents the provision of a custom-fitted gradient compression stocking designed for use below the knee.The stocking applies a pressure gradient ranging from 18 to 30 mmHg.Gradient compression is characterized by tighter pressure at one end and progressively less pressure at the other, promoting lymphatic drainage.Custom-fitted garments are uniquely sized and shaped to match the patient's affected body part for accurate compression.
Example 1: A patient presents with moderate lymphedema in their right lower extremity following breast cancer surgery and axillary lymph node dissection.The physician orders a custom-fitted below-knee gradient compression stocking (A6610) as part of their comprehensive decongestive therapy. , A patient with congenital lymphedema affecting their left leg requires a custom-fitted below-knee gradient compression stocking to manage swelling and improve lymphatic drainage.The code A6610 accurately reflects the provision of this specialized garment., A patient with chronic venous insufficiency experiences significant lower extremity edema.A physician orders a below-knee, custom-fitted gradient compression stocking to reduce swelling and alleviate symptoms.The correct code is A6610.
Detailed medical history, including diagnosis (e.g., lymphedema, venous insufficiency), physical examination findings documenting edema, measurement of the affected limb for appropriate stocking size, physician's order for the custom-fitted garment, and evidence of medical necessity (e.g., impact on activities of daily living, previous treatment failures).
** The use of code A6610 requires careful documentation to ensure proper reimbursement.The custom-fitting of the garment must be clearly indicated.Ensure the pressure range (18-30 mmHg) is specified in the documentation.
- Payment Status: Active
- Specialties:Lymphology, Oncology, Vascular Surgery, General Surgery
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center