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: A – Add procedure or modifier code