HCPCS A6577 Code. Custom grad cm sleeve heavy


Table of content for "Custom grad cm sleeve heavy" (HCPCS A6577)

General information on the “A6577” code

HCPCS Code: A6577
Long Description: Gradient compression arm sleeve, custom, heavy weight, each
Short Description: Custom grad cm sleeve heavy

Original information is taken from A6577 page

Pricing indicators

Pricing Indicator Code 1: 40 – Lymphedema Compression Treatment Items (eff 1/1/2024).
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology

Certification and additional reference information

Coverage

Coverage: C – Carrier judgment

Type of service


Berenson-Eggers Type of Service (BETOS): O1L – Lymphedema Compression Treatment Items (eff 1/1/2024)
Type Of Service 1: S – Surgical dressings or other medical supplies (eff 04/95)

Misc information

Anesthesia Base Unit Quantity: 0
Code Added Date: 20240101
Code Effective Date: 20240101
Action Code: N – No maintenance for this code