How To Use HCPCS Code A6560

HCPCS code A6560 describes a specific type of gradient compression stocking. This code is used to identify full-length or chap-style stockings that provide a compression level of 30-40 mmHg. These stockings are custom-made for each individual patient.

1. What is HCPCS A6560?

HCPCS code A6560 is used to identify gradient compression stockings that are designed to provide a specific level of compression to the legs. These stockings are typically prescribed for patients with conditions such as lymphedema or venous insufficiency, where the compression helps to improve circulation and reduce swelling.

2. Official Description

The official description of HCPCS code A6560 is “Gradient compression stocking, full length/chap style, 30-40 mmhg, custom, each.” The short description is “G stckng full/chap30-40 cust.”

3. Procedure

1. To use HCPCS code A6560, the healthcare provider first assesses the patient’s condition and determines the need for gradient compression stockings.
2. The provider then takes measurements of the patient’s legs to ensure a proper fit for the custom-made stockings.
3. Based on the measurements, the provider orders the stockings from a supplier who specializes in custom compression garments.
4. Once the stockings are received, the provider ensures that they meet the specified compression level of 30-40 mmHg.
5. The provider then instructs the patient on how to properly wear and care for the stockings.

4. When to use HCPCS code A6560

HCPCS code A6560 should be used when a patient requires full-length or chap-style gradient compression stockings with a compression level of 30-40 mmHg. These stockings are custom-made for each individual patient and are typically prescribed for conditions such as lymphedema or venous insufficiency.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code A6560, healthcare providers need to document the medical necessity for the gradient compression stockings. This documentation should include the patient’s diagnosis, the specific condition being treated, and any supporting clinical information.

6. Historical Information and Code Maintenance

HCPCS code A6560 was added to the Healthcare Common Procedure Coding System on January 01, 2024. As of the effective date, there have been no maintenance actions taken for this code. This means that no updates or revisions have been made since its addition.

7. Medicare and Insurance Coverage

Medicare and other insurance providers may cover the cost of gradient compression stockings when they are medically necessary. The pricing indicator code for HCPCS code A6560 is 40, which indicates that it falls under the category of lymphedema compression treatment items. The multiple pricing indicator code is A, which means that the code is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of when HCPCS code A6560 should be billed:

1. A patient with lymphedema requires custom-made gradient compression stockings with a compression level of 30-40 mmHg.
2. An individual with venous insufficiency needs full-length gradient compression stockings to improve circulation in their legs.
3. A post-surgical patient develops swelling in their legs and requires chap-style compression stockings for support and to reduce edema.
4. A patient with chronic venous insufficiency experiences discomfort and swelling in their legs, necessitating the use of custom-made gradient compression stockings.
5. An individual with a history of deep vein thrombosis requires full-length compression stockings to prevent the recurrence of blood clots.