MyMedi-AI

A6544 — Gradient compression stocking, garter belt

HCPCS Level II A-code · short descriptor: “Gc stocking garter belt”

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 (HCPCS Level II October 2026)

Prior authorization

Not on the Medicare required-PA list (CMS Required Prior Authorization List — 74 items in force on 2026-10-25; 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 2026-10-25; 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.

A6544 Medicare fee schedule (October 2026)

Base (no modifier) LC

Medicare allowable: $38.90 in all listed states.

StateNon-ruralRural
AK$38.90—
AL$38.90—
AR$38.90—
AZ$38.90—
CA$38.90—
CO$38.90—
CT$38.90—
DC$38.90—
DE$38.90—
FL$38.90—
GA$38.90—
HI$38.90—
IA$38.90—
ID$38.90—
IL$38.90—
IN$38.90—
KS$38.90—
KY$38.90—
LA$38.90—
MA$38.90—
MD$38.90—
ME$38.90—
MI$38.90—
MN$38.90—
MO$38.90—
MS$38.90—
MT$38.90—
NC$38.90—
ND$38.90—
NE$38.90—
NH$38.90—
NJ$38.90—
NM$38.90—
NV$38.90—
NY$38.90—
OH$38.90—
OK$38.90—
OR$38.90—
PA$38.90—
PR$38.90—
RI$38.90—
SC$38.90—
SD$38.90—
TN$38.90—
TX$38.90—
UT$38.90—
VA$38.90—
VI$38.90—
VT$38.90—
WA$38.90—
WI$38.90—
WV$38.90—
WY$38.90—
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.

Common denial codes to watch

Related A-codes

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