MyMedi-AI

A6520 — Gradient compression garment, glove, padded, for nighttime use, each

HCPCS Level II A-code · short descriptor: “G com garmnt glove nghttime”

Code system
HCPCS Level II
Family
A — Medical & surgical supplies, ambulance
Medicare coverage status
Carrier judgment — coverage decided by the DME MAC
DMEPOS payment category
LC
Prior authorization
Not on Medicare required-PA list
Face-to-face & WOPD
Not on the required list
Status
Active (April 2026 HCPCS)

Prior authorization

Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

Order readiness — what the written order must contain

Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):

  • Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
  • General description of the item (42 CFR 410.38(d)(1)(i)(B))
  • Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
  • Order date (42 CFR 410.38(d)(1)(i)(D))
  • Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
  • Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))

Not on the F2F/WOPD list (April 13, 2026 update — 83 items). The standard written order must reach the supplier before claim submission.

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.

A6520 Medicare fee schedule (April 2026)

Base (no modifier) LC

Medicare allowable: $126.45 in all listed states.

StateNon-ruralRural
AK$126.45
AL$126.45
AR$126.45
AZ$126.45
CA$126.45
CO$126.45
CT$126.45
DC$126.45
DE$126.45
FL$126.45
GA$126.45
HI$126.45
IA$126.45
ID$126.45
IL$126.45
IN$126.45
KS$126.45
KY$126.45
LA$126.45
MA$126.45
MD$126.45
ME$126.45
MI$126.45
MN$126.45
MO$126.45
MS$126.45
MT$126.45
NC$126.45
ND$126.45
NE$126.45
NH$126.45
NJ$126.45
NM$126.45
NV$126.45
NY$126.45
OH$126.45
OK$126.45
OR$126.45
PA$126.45
PR$126.45
RI$126.45
SC$126.45
SD$126.45
TN$126.45
TX$126.45
UT$126.45
VA$126.45
VI$126.45
VT$126.45
WA$126.45
WI$126.45
WV$126.45
WY$126.45
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026. Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%. A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area adjustments and non-continental rates can differ — verify with your DME MAC.

Common denial codes to watch

Related A-codes

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