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A6554 — Gradient compression stocking, below knee, 40 mmhg or greater, each

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

A6554 Medicare fee schedule (April 2026)

Base (no modifier) LC

Medicare allowable: $79.72 in all listed states.

StateNon-ruralRural
AK$79.72
AL$79.72
AR$79.72
AZ$79.72
CA$79.72
CO$79.72
CT$79.72
DC$79.72
DE$79.72
FL$79.72
GA$79.72
HI$79.72
IA$79.72
ID$79.72
IL$79.72
IN$79.72
KS$79.72
KY$79.72
LA$79.72
MA$79.72
MD$79.72
ME$79.72
MI$79.72
MN$79.72
MO$79.72
MS$79.72
MT$79.72
NC$79.72
ND$79.72
NE$79.72
NH$79.72
NJ$79.72
NM$79.72
NV$79.72
NY$79.72
OH$79.72
OK$79.72
OR$79.72
PA$79.72
PR$79.72
RI$79.72
SC$79.72
SD$79.72
TN$79.72
TX$79.72
UT$79.72
VA$79.72
VI$79.72
VT$79.72
WA$79.72
WI$79.72
WV$79.72
WY$79.72
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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