2024 HCPCS Code A6574

Gradient compression arm sleeve and glove combination, custom, each

Short Description	Custom gradient sleev/glov
HCPCS Coverage Code	C - Carrier judgment
HCPCS Action Code	N - No maintenance for this code
HCPCS Action Effective Date	January 01, 2024
HCPCS Code Added Date	January 01, 2024
HCPCS Pricing Indicator Code	40 - Lymphedema Compression Treatment Items (eff 1/1/2024)
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Coverage Issues Manual Reference Section Number
HCPCS Type Of Service Code	S - Surgical dressings or other medical supplies (eff 04/95)
HCPCS Anesthesia Base Unit Quantity	0