MyMedi-AI

A6530 — Gradient compression stocking, below knee, 18-30 mmhg, each

HCPCS Level II A-code · short descriptor: “Compression stocking bk18-30”

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.

A6530 Medicare fee schedule (April 2026)

Base (no modifier) LC

Medicare allowable: $39.07 in all listed states.

StateNon-ruralRural
AK$39.07
AL$39.07
AR$39.07
AZ$39.07
CA$39.07
CO$39.07
CT$39.07
DC$39.07
DE$39.07
FL$39.07
GA$39.07
HI$39.07
IA$39.07
ID$39.07
IL$39.07
IN$39.07
KS$39.07
KY$39.07
LA$39.07
MA$39.07
MD$39.07
ME$39.07
MI$39.07
MN$39.07
MO$39.07
MS$39.07
MT$39.07
NC$39.07
ND$39.07
NE$39.07
NH$39.07
NJ$39.07
NM$39.07
NV$39.07
NY$39.07
OH$39.07
OK$39.07
OR$39.07
PA$39.07
PR$39.07
RI$39.07
SC$39.07
SD$39.07
TN$39.07
TX$39.07
UT$39.07
VA$39.07
VI$39.07
VT$39.07
WA$39.07
WI$39.07
WV$39.07
WY$39.07
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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