How do you bill compression stockings?

How do you bill compression stockings?

The CPT Code for compression stockings are CPT A6531, CPT A6532, and CPT A6545 are noncovered for the following conditions:

  1. Venous insufficiency without stasis,
  2. Ulcers, prevention of stasis ulcers,
  3. Prevention of the reoccurrence of stasis ulcers that have healed,
  4. Treatment of lymphedema in the absence of ulcers.

What is CPT code A6549?

Gradient compression stocking
HCPCS code A6549 for Gradient compression stocking/sleeve, not otherwise specified as maintained by CMS falls under Compression Garments and Stockings .

What is code a6530?

Short Description: Compression stocking BK18-30. Long Description: GRADIENT COMPRESSION STOCKING, BELOW KNEE, 18-30 MMHG, EACH.

Are compression stockings covered by insurance?

Medicare and most medical insurance plans do not cover compression or diabetic socks. Even with a prescription from your doctor they are a non-covered service. The coverage doesn’t apply to compression socks prescribed for treatment of circulation issues, varicose veins, or to prevent ulcers.

Does Medicare pay for leg compression devices?

Original Medicare does not recognize compression socks/stockings as durable medical equipment (DME) and therefore does not provide coverage for the legwear. However, some Medicare Advantage plans provide some coverage for over-the-counter medical expenses, which may include compression socks and stockings.

What is CPT E1399?

HCPCS code E1399 describes “durable medical equipment, miscellaneous” and is currently being used to bill for inexpensive DME subject to the rules of 42 C.F.R. 414.220, other covered DME subject to the rules of 42 C.F.R.

What is the purpose of HCPCS codes?

HCPCS is a collection of standardized codes that represent medical procedures, supplies, products and services. The codes are used to facilitate the processing of health insurance claims by Medicare and other insurers.

What is a gradient compression stocking?

Gradient compression stockings help return blood to your heart by compressing (squeezing) your leg muscles. This gently squeezes your veins and helps to push your blood in the right direction. • ‘Gradient compression’ means that the amount of compression in the stocking gradually changes.

What is the AW modifier?

Modifier AW Any claims submitted with a identified above that does not have the appropriate modifier appended as per the policy with which it is billed, will be denied as noncovered.

What is CPT code A4465?

HCPCS code A4465 for Non-elastic binder for extremity as maintained by CMS falls under Various Medical Supplies Including Tapes and Surgical Dressings .

What is the HCPCS code for compression stockings?

Transportation Services Including Ambulance, Medical & Surgical Supplies A6530 is a valid 2019 HCPCS code for Gradient compression stocking, below knee, 18-30 mmhg, each or just “ Compression stocking bk18-30 ” for short, used in Lump sum purchase of DME, prosthetics, orthotics .

What is the HCPCS code for foam dressing wound pad size?

A6206 contact layer 16 sq less each HCPCS Code Code A6207 contact layer more than 16 sq HCPCS Code Code A6208 contact layer more than 48 sq HCPCS Code Code A6209 foam dressing wound cover pad size HCPCS Code Code

What is a a code in HCPCS?

A code denoting the change made to a procedure or modifier code within the HCPCS system. The date the HCPCS code was added to the Healthcare common procedure coding system. The carrier assigned CMS type of service which describes the particular kind (s) of service represented by the procedure code.

What is the HCPCS code for gradient compression?

HCPCS Code Details – A6530 HCPCS Code A6530 Description Long description: Gradient compression s HCPCS Modifier 1 HCPCS Pricing indicator 00 – Physician Fee Schedule And Non-Phys Multiple pricing indicator 9 – Not applicable as HCPCS not priced s