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A6585 — Gradient compression wrap with adjustable straps, above knee, each

HCPCS Level II A-code · short descriptor: “Grad com wrap w straps ak”

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.

A6585 Medicare fee schedule (April 2026)

Base (no modifier) LC

Medicare allowable: $189.60 in all listed states.

StateNon-ruralRural
AK$189.60
AL$189.60
AR$189.60
AZ$189.60
CA$189.60
CO$189.60
CT$189.60
DC$189.60
DE$189.60
FL$189.60
GA$189.60
HI$189.60
IA$189.60
ID$189.60
IL$189.60
IN$189.60
KS$189.60
KY$189.60
LA$189.60
MA$189.60
MD$189.60
ME$189.60
MI$189.60
MN$189.60
MO$189.60
MS$189.60
MT$189.60
NC$189.60
ND$189.60
NE$189.60
NH$189.60
NJ$189.60
NM$189.60
NV$189.60
NY$189.60
OH$189.60
OK$189.60
OR$189.60
PA$189.60
PR$189.60
RI$189.60
SC$189.60
SD$189.60
TN$189.60
TX$189.60
UT$189.60
VA$189.60
VI$189.60
VT$189.60
WA$189.60
WI$189.60
WV$189.60
WY$189.60
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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