MyMedi-AI

A6527 — Gradient compression garment, full leg and foot, padded, for nighttime use, custom, each

HCPCS Level II A-code · short descriptor: “G garmt full leg/ft nght cus”

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.

A6527 Medicare fee schedule (April 2026)

Base (no modifier) LC

Medicare allowable: $1274.45 in all listed states.

StateNon-ruralRural
AK$1274.45
AL$1274.45
AR$1274.45
AZ$1274.45
CA$1274.45
CO$1274.45
CT$1274.45
DC$1274.45
DE$1274.45
FL$1274.45
GA$1274.45
HI$1274.45
IA$1274.45
ID$1274.45
IL$1274.45
IN$1274.45
KS$1274.45
KY$1274.45
LA$1274.45
MA$1274.45
MD$1274.45
ME$1274.45
MI$1274.45
MN$1274.45
MO$1274.45
MS$1274.45
MT$1274.45
NC$1274.45
ND$1274.45
NE$1274.45
NH$1274.45
NJ$1274.45
NM$1274.45
NV$1274.45
NY$1274.45
OH$1274.45
OK$1274.45
OR$1274.45
PA$1274.45
PR$1274.45
RI$1274.45
SC$1274.45
SD$1274.45
TN$1274.45
TX$1274.45
UT$1274.45
VA$1274.45
VI$1274.45
VT$1274.45
WA$1274.45
WI$1274.45
WV$1274.45
WY$1274.45
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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