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A6524 — Gradient compression garment, lower leg and foot, padded, for nighttime use, each

HCPCS Level II A-code · short descriptor: “G com garmnt lwr leg/ft nght”

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.

A6524 Medicare fee schedule (April 2026)

Base (no modifier) LC

Medicare allowable: $383.34 in all listed states.

StateNon-ruralRural
AK$383.34
AL$383.34
AR$383.34
AZ$383.34
CA$383.34
CO$383.34
CT$383.34
DC$383.34
DE$383.34
FL$383.34
GA$383.34
HI$383.34
IA$383.34
ID$383.34
IL$383.34
IN$383.34
KS$383.34
KY$383.34
LA$383.34
MA$383.34
MD$383.34
ME$383.34
MI$383.34
MN$383.34
MO$383.34
MS$383.34
MT$383.34
NC$383.34
ND$383.34
NE$383.34
NH$383.34
NJ$383.34
NM$383.34
NV$383.34
NY$383.34
OH$383.34
OK$383.34
OR$383.34
PA$383.34
PR$383.34
RI$383.34
SC$383.34
SD$383.34
TN$383.34
TX$383.34
UT$383.34
VA$383.34
VI$383.34
VT$383.34
WA$383.34
WI$383.34
WV$383.34
WY$383.34
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.

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