MyMedi-AI

A6536 — Gradient compression stocking, full length/chap style, 18-30 mmhg, each

HCPCS Level II A-code · short descriptor: “Gc stocking full lngth 18-30”

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
MUE unit limit
6
Status
Active (HCPCS Level II October 2026)

Prior authorization

Not on the Medicare required-PA list (CMS Required Prior Authorization List — 74 items in force on 2026-10-16; 8 more from 2026-10-28; sources: CMS list updated 2026-01-13, CMS-6109-N (91 FR 47972)). 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 (CMS Required F2F & WOPD List — 83 items in force on 2026-10-16; 22 more from 2026-10-28; sources: CMS list effective 2026-04-13 (91 FR 1250), CMS-6109-N (91 FR 47972)). The standard written order must reach the supplier before claim submission.

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

A6536 Medicare fee schedule (October 2026)

Base (no modifier) LC

Medicare allowable: $73.95 in all listed states.

StateNon-ruralRural
AK$73.95—
AL$73.95—
AR$73.95—
AZ$73.95—
CA$73.95—
CO$73.95—
CT$73.95—
DC$73.95—
DE$73.95—
FL$73.95—
GA$73.95—
HI$73.95—
IA$73.95—
ID$73.95—
IL$73.95—
IN$73.95—
KS$73.95—
KY$73.95—
LA$73.95—
MA$73.95—
MD$73.95—
ME$73.95—
MI$73.95—
MN$73.95—
MO$73.95—
MS$73.95—
MT$73.95—
NC$73.95—
ND$73.95—
NE$73.95—
NH$73.95—
NJ$73.95—
NM$73.95—
NV$73.95—
NY$73.95—
OH$73.95—
OK$73.95—
OR$73.95—
PA$73.95—
PR$73.95—
RI$73.95—
SC$73.95—
SD$73.95—
TN$73.95—
TX$73.95—
UT$73.95—
VA$73.95—
VI$73.95—
VT$73.95—
WA$73.95—
WI$73.95—
WV$73.95—
WY$73.95—
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). 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.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps A6536 at 6 units per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: CMS Policy.

Common denial codes to watch

Related A-codes

Bill A6536 with confidence

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