Table of content for "Custom gradient sleev/glov" (HCPCS A6574)
General information on the “A6574” code
HCPCS Code: A6574
Long Description: Gradient compression arm sleeve and glove combination, custom, each
Short Description: Custom gradient sleev/glov
Original information is taken from A6574 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: A – Add procedure or modifier code