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A6548 — Accessory to custom gradient compression garment, silicone band, any size

HCPCS Level II A-code · short descriptor: “Acces cust grad silic band”

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.

A6548 Medicare fee schedule (April 2026)

Base (no modifier) LC

Medicare allowable: $20.86 in all listed states.

StateNon-ruralRural
AK$20.86
AL$20.86
AR$20.86
AZ$20.86
CA$20.86
CO$20.86
CT$20.86
DC$20.86
DE$20.86
FL$20.86
GA$20.86
HI$20.86
IA$20.86
ID$20.86
IL$20.86
IN$20.86
KS$20.86
KY$20.86
LA$20.86
MA$20.86
MD$20.86
ME$20.86
MI$20.86
MN$20.86
MO$20.86
MS$20.86
MT$20.86
NC$20.86
ND$20.86
NE$20.86
NH$20.86
NJ$20.86
NM$20.86
NV$20.86
NY$20.86
OH$20.86
OK$20.86
OR$20.86
PA$20.86
PR$20.86
RI$20.86
SC$20.86
SD$20.86
TN$20.86
TX$20.86
UT$20.86
VA$20.86
VI$20.86
VT$20.86
WA$20.86
WI$20.86
WV$20.86
WY$20.86
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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