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A6578 — Gradient compression arm sleeve, each

HCPCS Level II A-code · short descriptor: “Gradient comp sleeve”

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.

A6578 Medicare fee schedule (April 2026)

Base (no modifier) LC

Medicare allowable: $79.55 in all listed states.

StateNon-ruralRural
AK$79.55
AL$79.55
AR$79.55
AZ$79.55
CA$79.55
CO$79.55
CT$79.55
DC$79.55
DE$79.55
FL$79.55
GA$79.55
HI$79.55
IA$79.55
ID$79.55
IL$79.55
IN$79.55
KS$79.55
KY$79.55
LA$79.55
MA$79.55
MD$79.55
ME$79.55
MI$79.55
MN$79.55
MO$79.55
MS$79.55
MT$79.55
NC$79.55
ND$79.55
NE$79.55
NH$79.55
NJ$79.55
NM$79.55
NV$79.55
NY$79.55
OH$79.55
OK$79.55
OR$79.55
PA$79.55
PR$79.55
RI$79.55
SC$79.55
SD$79.55
TN$79.55
TX$79.55
UT$79.55
VA$79.55
VI$79.55
VT$79.55
WA$79.55
WI$79.55
WV$79.55
WY$79.55
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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