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A6552 — Gradient compression stocking, below knee, 30-40 mmhg, each

HCPCS Level II A-code · short descriptor: “Grad com stocking bk 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.

A6552 Medicare fee schedule (April 2026)

Base (no modifier) LC

Medicare allowable: $57.97 in all listed states.

StateNon-ruralRural
AK$57.97
AL$57.97
AR$57.97
AZ$57.97
CA$57.97
CO$57.97
CT$57.97
DC$57.97
DE$57.97
FL$57.97
GA$57.97
HI$57.97
IA$57.97
ID$57.97
IL$57.97
IN$57.97
KS$57.97
KY$57.97
LA$57.97
MA$57.97
MD$57.97
ME$57.97
MI$57.97
MN$57.97
MO$57.97
MS$57.97
MT$57.97
NC$57.97
ND$57.97
NE$57.97
NH$57.97
NJ$57.97
NM$57.97
NV$57.97
NY$57.97
OH$57.97
OK$57.97
OR$57.97
PA$57.97
PR$57.97
RI$57.97
SC$57.97
SD$57.97
TN$57.97
TX$57.97
UT$57.97
VA$57.97
VI$57.97
VT$57.97
WA$57.97
WI$57.97
WV$57.97
WY$57.97
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

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