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A6537 — Gradient compression stocking, full length/chap style, 30-40 mmhg, each

HCPCS Level II A-code · short descriptor: “Gc stocking full lngth 30-40”

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.

A6537 Medicare fee schedule (April 2026)

Base (no modifier) LC

Medicare allowable: $87.67 in all listed states.

StateNon-ruralRural
AK$87.67
AL$87.67
AR$87.67
AZ$87.67
CA$87.67
CO$87.67
CT$87.67
DC$87.67
DE$87.67
FL$87.67
GA$87.67
HI$87.67
IA$87.67
ID$87.67
IL$87.67
IN$87.67
KS$87.67
KY$87.67
LA$87.67
MA$87.67
MD$87.67
ME$87.67
MI$87.67
MN$87.67
MO$87.67
MS$87.67
MT$87.67
NC$87.67
ND$87.67
NE$87.67
NH$87.67
NJ$87.67
NM$87.67
NV$87.67
NY$87.67
OH$87.67
OK$87.67
OR$87.67
PA$87.67
PR$87.67
RI$87.67
SC$87.67
SD$87.67
TN$87.67
TX$87.67
UT$87.67
VA$87.67
VI$87.67
VT$87.67
WA$87.67
WI$87.67
WV$87.67
WY$87.67
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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