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A6522 — Gradient compression garment, arm, padded, for nighttime use, each

HCPCS Level II A-code · short descriptor: “G com garment arm nighttime”

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
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.

A6522 Medicare fee schedule (April 2026)

Base (no modifier) LC

Medicare allowable: $307.26 in all listed states.

StateNon-ruralRural
AK$307.26
AL$307.26
AR$307.26
AZ$307.26
CA$307.26
CO$307.26
CT$307.26
DC$307.26
DE$307.26
FL$307.26
GA$307.26
HI$307.26
IA$307.26
ID$307.26
IL$307.26
IN$307.26
KS$307.26
KY$307.26
LA$307.26
MA$307.26
MD$307.26
ME$307.26
MI$307.26
MN$307.26
MO$307.26
MS$307.26
MT$307.26
NC$307.26
ND$307.26
NE$307.26
NH$307.26
NJ$307.26
NM$307.26
NV$307.26
NY$307.26
OH$307.26
OK$307.26
OR$307.26
PA$307.26
PR$307.26
RI$307.26
SC$307.26
SD$307.26
TN$307.26
TX$307.26
UT$307.26
VA$307.26
VI$307.26
VT$307.26
WA$307.26
WI$307.26
WV$307.26
WY$307.26
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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