Surgical Dressings & Compression - Holistic Medical Supply

S01: SURGICAL DRESSINGS (BOC Category)

TAPE, NON-WATERPROOF, PER 18 SQUARE INCHES

HCPCS Code

A4450

TAPE, WATERPROOF, PER 18 SQUARE INCHES

HCPCS Code

A4452

SURGICAL DRESSING HOLDER, NON-REUSABLE, EACH

HCPCS Code

A4461

SURGICAL DRESSING HOLDER, REUSABLE, EACH

HCPCS Code

A4463

NON-ELASTIC BINDER FOR EXTREMITY

HCPCS Code

A4465

SURGICAL STOCKINGS ABOVE KNEE LENGTH, EACH

HCPCS Code

A4490

SURGICAL STOCKINGS THIGH LENGTH, EACH

HCPCS Code

A4495

SURGICAL STOCKINGS BELOW KNEE LENGTH, EACH

HCPCS Code

A4500

SURGICAL SUPPLY; MISCELLANEOUS

HCPCS Code

A4649

COLLAGEN BASED WOUND FILLER, DRY FORM, STERILE, PER GRAM OF COLLAGEN

HCPCS Code

A6010

COLLAGEN BASED WOUND FILLER, GEL/PASTE, PER GRAM OF COLLAGEN

HCPCS Code

A6011

COLLAGEN DRESSING, STERILE, SIZE 16 SQ. IN. OR LESS, EACH

HCPCS Code

A6021

COLLAGEN DRESSING, STERILE, SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., EACH

HCPCS Code

A6022

COLLAGEN DRESSING, STERILE, SIZE MORE THAN 48 SQ. IN., EACH

HCPCS Code

A6023

COLLAGEN DRESSING WOUND FILLER, STERILE, PER 6 INCHES

HCPCS Code

A6024

GEL SHEET FOR DERMAL OR EPIDERMAL APPLICATION, (E.G., SILICONE, HYDROGEL, OTHER), EACH

HCPCS Code

A6025

WOUND POUCH, EACH

HCPCS Code

A6154

ALGINATE OR OTHER FIBER GELLING DRESSING, WOUND COVER, STERILE, PAD SIZE 16 SQ. IN. OR LESS, EACH DRESSING

HCPCS Code

A6196

ALGINATE OR OTHER FIBER GELLING DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., EACH DRESSING

HCPCS Code

A6197

ALGINATE OR OTHER FIBER GELLING DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 48 SQ. IN., EACH DRESSING

HCPCS Code

A6198

ALGINATE OR OTHER FIBER GELLING DRESSING, WOUND FILLER, STERILE, PER 6 INCHES

HCPCS Code

A6199

COMPOSITE DRESSING, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6203

COMPOSITE DRESSING, STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6204

COMPOSITE DRESSING, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6205

CONTACT LAYER, STERILE, 16 SQ. IN. OR LESS, EACH DRESSING

HCPCS Code

A6206

CONTACT LAYER, STERILE, MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., EACH DRESSING

HCPCS Code

A6207

CONTACT LAYER, STERILE, MORE THAN 48 SQ. IN., EACH DRESSING

HCPCS Code

A6208

FOAM DRESSING, WOUND COVER, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6209

FOAM DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6210

FOAM DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6211

FOAM DRESSING, WOUND COVER, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6212

FOAM DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6213

FOAM DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6214

FOAM DRESSING, WOUND FILLER, STERILE, PER GRAM

HCPCS Code

A6215

GAUZE, NON-IMPREGNATED, NON-STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6216

GAUZE, NON-IMPREGNATED, NON-STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6217

GAUZE, NON-IMPREGNATED, NON-STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6218

GAUZE, NON-IMPREGNATED, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6219

GAUZE, NON-IMPREGNATED, STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6220

GAUZE, NON-IMPREGNATED, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6221

GAUZE, IMPREGNATED WITH OTHER THAN WATER, NORMAL SALINE, OR HYDROGEL, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6222

GAUZE, IMPREGNATED WITH OTHER THAN WATER, NORMAL SALINE, OR HYDROGEL, STERILE, PAD SIZE MORE THAN 16 SQ. IN., BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6223

GAUZE, IMPREGNATED WITH OTHER THAN WATER, NORMAL SALINE, OR HYDROGEL, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6224

GAUZE, IMPREGNATED, WATER OR NORMAL SALINE, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6228

GAUZE, IMPREGNATED, WATER OR NORMAL SALINE, STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6229

GAUZE, IMPREGNATED, WATER OR NORMAL SALINE, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6230

GAUZE, IMPREGNATED, HYDROGEL, FOR DIRECT WOUND CONTACT, STERILE, PAD SIZE 16 SQ. IN. OR LESS, EACH DRESSING

HCPCS Code

A6231

GAUZE, IMPREGNATED, HYDROGEL, FOR DIRECT WOUND CONTACT, STERILE, PAD SIZE GREATER THAN 16 SQ. IN., BUT LESS THAN OR EQUAL TO 48 SQ. IN., EACH DRESSING

HCPCS Code

A6232

GAUZE, IMPREGNATED, HYDROGEL, FOR DIRECT WOUND CONTACT, STERILE, PAD SIZE MORE THAN 48 SQ. IN., EACH DRESSING

HCPCS Code

A6233

HYDROCOLLOID DRESSING, WOUND COVER, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6234

HYDROCOLLOID DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6235

HYDROCOLLOID DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6236

HYDROCOLLOID DRESSING, WOUND COVER, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6237

HYDROCOLLOID DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6238

HYDROCOLLOID DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6239

HYDROCOLLOID DRESSING, WOUND FILLER, PASTE, STERILE, PER OUNCE

HCPCS Code

A6240

HYDROCOLLOID DRESSING, WOUND FILLER, DRY FORM, STERILE, PER GRAM

HCPCS Code

A6241

HYDROGEL DRESSING, WOUND COVER, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6242

HYDROGEL DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6243

HYDROGEL DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6244

HYDROGEL DRESSING, WOUND COVER, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6245

HYDROGEL DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6246

HYDROGEL DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6247

HYDROGEL DRESSING, WOUND FILLER, GEL, PER FLUID OUNCE

HCPCS Code

A6248

SKIN SEALANTS, PROTECTANTS, MOISTURIZERS, OINTMENTS, ANY TYPE, ANY SIZE

HCPCS Code

A6250

SPECIALTY ABSORPTIVE DRESSING, WOUND COVER, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6251

SPECIALTY ABSORPTIVE DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6252

SPECIALTY ABSORPTIVE DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6253

SPECIALTY ABSORPTIVE DRESSING, WOUND COVER, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6254

SPECIALTY ABSORPTIVE DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6255

SPECIALTY ABSORPTIVE DRESSING, WOUND COVER, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITH ANY SIZE ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6256

TRANSPARENT FILM, STERILE, 16 SQ. IN. OR LESS, EACH DRESSING

HCPCS Code

A6257

TRANSPARENT FILM, STERILE, MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN., EACH DRESSING

HCPCS Code

A6258

TRANSPARENT FILM, STERILE, MORE THAN 48 SQ. IN., EACH DRESSING

HCPCS Code

A6259

WOUND CLEANSERS, ANY TYPE, ANY SIZE

HCPCS Code

A6260

WOUND FILLER, GEL/PASTE, PER FLUID OUNCE, NOT OTHERWISE SPECIFIED

HCPCS Code

A6261

WOUND FILLER, DRY FORM, PER GRAM, NOT OTHERWISE SPECIFIED

HCPCS Code

A6262

GAUZE, IMPREGNATED, OTHER THAN WATER, NORMAL SALINE, OR ZINC PASTE, STERILE, ANY WIDTH, PER LINEAR YARD

HCPCS Code

A6266

GAUZE, NON-IMPREGNATED, STERILE, PAD SIZE 16 SQ. IN. OR LESS, WITHOUT ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6402

GAUZE, NON-IMPREGNATED, STERILE, PAD SIZE MORE THAN 16 SQ. IN. LESS THAN OR EQUAL TO 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6403

GAUZE, NON-IMPREGNATED, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT ADHESIVE BORDER, EACH DRESSING

HCPCS Code

A6404

PACKING STRIPS, NON-IMPREGNATED, STERILE, UP TO 2 INCHES IN WIDTH, PER LINEAR YARD

HCPCS Code

A6407

EYE PAD, STERILE, EACH

HCPCS Code

A6410

EYE PAD, NON-STERILE, EACH

HCPCS Code

A6411

EYE PATCH, OCCLUSIVE, EACH

HCPCS Code

A6412

ADHESIVE BANDAGE, FIRST-AID TYPE, ANY SIZE, EACH

HCPCS Code

A6413

PADDING BANDAGE, NON-ELASTIC, NON-WOVEN/NON-KNITTED, WIDTH GREATER THAN OR EQUAL TO THREE INCHES AND LESS THAN FIVE INCHES, PER YARD

HCPCS Code

A6441

CONFORMING BANDAGE, NON-ELASTIC, KNITTED/WOVEN, NON-STERILE, WIDTH LESS THAN THREE INCHES, PER YARD

HCPCS Code

A6442

CONFORMING BANDAGE, NON-ELASTIC, KNITTED/WOVEN, NON-STERILE, WIDTH GREATER THAN OR EQUAL TO THREE INCHES AND LESS THAN FIVE INCHES, PER YARD

HCPCS Code

A6443

CONFORMING BANDAGE, NON-ELASTIC, KNITTED/WOVEN, NON-STERILE, WIDTH GREATER THAN OR EQUAL TO 5 INCHES, PER YARD

HCPCS Code

A6444

CONFORMING BANDAGE, NON-ELASTIC, KNITTED/WOVEN, STERILE, WIDTH LESS THAN THREE INCHES, PER YARD

HCPCS Code

A6445

CONFORMING BANDAGE, NON-ELASTIC, KNITTED/WOVEN, STERILE, WIDTH GREATER THAN OR EQUAL TO THREE INCHES AND LESS THAN FIVE INCHES, PER YARD

HCPCS Code

A6446

CONFORMING BANDAGE, NON-ELASTIC, KNITTED/WOVEN, STERILE, WIDTH GREATER THAN OR EQUAL TO FIVE INCHES, PER YARD

HCPCS Code

A6447

LIGHT COMPRESSION BANDAGE, ELASTIC, KNITTED/WOVEN, WIDTH LESS THAN THREE INCHES, PER YARD

HCPCS Code

A6448

LIGHT COMPRESSION BANDAGE, ELASTIC, KNITTED/WOVEN, WIDTH GREATER THAN OR EQUAL TO THREE INCHES AND LESS THAN FIVE INCHES, PER YARD

HCPCS Code

A6449

LIGHT COMPRESSION BANDAGE, ELASTIC, KNITTED/WOVEN, WIDTH GREATER THAN OR EQUAL TO FIVE INCHES, PER YARD

HCPCS Code

A6450

MODERATE COMPRESSION BANDAGE, ELASTIC, KNITTED/WOVEN, LOAD RESISTANCE OF 1.25 TO 1.34 FOOT POUNDS AT 50% MAXIMUM STRETCH, WIDTH GREATER THAN OR EQUAL TO THREE INCHES AND LESS THAN FIVE INCHES, PER YARD

HCPCS Code

A6451

HIGH COMPRESSION BANDAGE, ELASTIC, KNITTED/WOVEN, LOAD RESISTANCE GREATER THAN OR EQUAL TO 1.35 FOOT POUNDS AT 50% MAXIMUM STRETCH, WIDTH GREATER THAN OR EQUAL TO THREE INCHES AND LESS THAN FIVE INCHES, PER YARD

HCPCS Code

A6452

SELF-ADHERENT BANDAGE, ELASTIC, NON-KNITTED/NON-WOVEN, WIDTH LESS THAN THREE INCHES, PER YARD

HCPCS Code

A6453

SELF-ADHERENT BANDAGE, ELASTIC, NON-KNITTED/NON-WOVEN, WIDTH GREATER THAN OR EQUAL TO THREE INCHES AND LESS THAN FIVE INCHES, PER YARD

HCPCS Code

A6454

SELF-ADHERENT BANDAGE, ELASTIC, NON-KNITTED/NON-WOVEN, WIDTH GREATER THAN OR EQUAL TO FIVE INCHES, PER YARD

HCPCS Code

A6455

ZINC PASTE IMPREGNATED BANDAGE, NON-ELASTIC, KNITTED/WOVEN, WIDTH GREATER THAN OR EQUAL TO THREE INCHES AND LESS THAN FIVE INCHES, PER YARD

HCPCS Code

A6456

TUBULAR DRESSING WITH OR WITHOUT ELASTIC, ANY WIDTH, PER LINEAR YARD

HCPCS Code

A6457

COMPRESSION BURN GARMENT, BODYSUIT (HEAD TO FOOT), CUSTOM FABRICATED

HCPCS Code

A6501

COMPRESSION BURN GARMENT, CHIN STRAP, CUSTOM FABRICATED

HCPCS Code

A6502

COMPRESSION BURN GARMENT, FACIAL HOOD, CUSTOM FABRICATED

HCPCS Code

A6503

COMPRESSION BURN GARMENT, GLOVE TO WRIST, CUSTOM FABRICATED

HCPCS Code

A6504

COMPRESSION BURN GARMENT, GLOVE TO ELBOW, CUSTOM FABRICATED

HCPCS Code

A6505

COMPRESSION BURN GARMENT, GLOVE TO AXILLA, CUSTOM FABRICATED

HCPCS Code

A6506

COMPRESSION BURN GARMENT, FOOT TO KNEE LENGTH, CUSTOM FABRICATED

HCPCS Code

A6507

COMPRESSION BURN GARMENT, FOOT TO THIGH LENGTH, CUSTOM FABRICATED

HCPCS Code

A6508

COMPRESSION BURN GARMENT, UPPER TRUNK TO WAIST INCLUDING ARM OPENINGS (VEST), CUSTOM FABRICATED

HCPCS Code

A6509

COMPRESSION BURN GARMENT, TRUNK, INCLUDING ARMS DOWN TO LEG OPENINGS (LEOTARD), CUSTOM FABRICATED

HCPCS Code

A6510

COMPRESSION BURN GARMENT, LOWER TRUNK INCLUDING LEG OPENINGS (PANTY), CUSTOM FABRICATED

HCPCS Code

A6511

COMPRESSION BURN GARMENT, NOT OTHERWISE CLASSIFIED

HCPCS Code

A6512

COMPRESSION BURN MASK, FACE AND/OR NECK, PLASTIC OR EQUAL, CUSTOM FABRICATED

HCPCS Code

A6513

GRADIENT COMPRESSION STOCKING, BELOW KNEE, 18-30 MMHG, EACH

HCPCS Code

A6530

GRADIENT COMPRESSION STOCKING, BELOW KNEE, 30-40 MMHG, USED AS A SURGICAL DRESSING, EACH

HCPCS Code

A6531

GRADIENT COMPRESSION STOCKING, BELOW KNEE, 40-50 MMHG, USED AS A SURGICAL DRESSING, EACH

HCPCS Code

A6532

GRADIENT COMPRESSION STOCKING, THIGH LENGTH, 18-30 MMHG, EACH

HCPCS Code

A6533

GRADIENT COMPRESSION STOCKING, THIGH LENGTH, 30-40 MMHG, EACH

HCPCS Code

A6534

GRADIENT COMPRESSION STOCKING, THIGH LENGTH, 40 MMHG OR GREATER, EACH

HCPCS Code

A6535

GRADIENT COMPRESSION STOCKING, FULL LENGTH/CHAP STYLE, 18-30 MMHG, EACH

HCPCS Code

A6536

GRADIENT COMPRESSION STOCKING, FULL LENGTH/CHAP STYLE, 30-40 MMHG, EACH

HCPCS Code

A6537

GRADIENT COMPRESSION STOCKING, FULL LENGTH/CHAP STYLE, 40 MMHG OR GREATER, EACH

HCPCS Code

A6538

GRADIENT COMPRESSION STOCKING, WAIST LENGTH, 18-30 MMHG, EACH

HCPCS Code

A6539

GRADIENT COMPRESSION STOCKING, WAIST LENGTH, 30-40 MMHG, EACH

HCPCS Code

A6540

GRADIENT COMPRESSION STOCKING, WAIST LENGTH, 40 MMHG OR GREATER, EACH

HCPCS Code

A6541

GRADIENT COMPRESSION STOCKING, GARTER BELT

HCPCS Code

A6544

GRADIENT COMPRESSION WRAP, NON-ELASTIC, BELOW KNEE, 30-50 MMHG, USED AS A SURGICAL DRESSING, EACH

HCPCS Code

A6545

GRADIENT COMPRESSION GARMENT, NOT OTHERWISE SPECIFIED, FOR DAYTIME USE, EACH

HCPCS Code

A6549

S04: LYMPHEDEMA COMPRESSION TREATMENT ITEMS (BOC Category)

GRADIENT COMPRESSION WRAP WITH ADJUSTABLE STRAPS, FULL LEG, EACH, CUSTOM

HCPCS Code

A6515

GRADIENT COMPRESSION WRAP WITH ADJUSTABLE STRAPS, FOOT, EACH, CUSTOM

HCPCS Code

A6516

GRADIENT COMPRESSION WRAP WITH ADJUSTABLE STRAPS, BELOW KNEE, EACH, CUSTOM

HCPCS Code

A6517

GRADIENT COMPRESSION WRAP WITH ADJUSTABLE STRAPS, ARM, EACH, CUSTOM

HCPCS Code

A6518

GRADIENT COMPRESSION GARMENT, NOT OTHERWISE SPECIFIED, FOR NIGHTTIME USE, EACH

HCPCS Code

A6519

GRADIENT COMPRESSION GARMENT, GLOVE, PADDED, FOR NIGHTTIME USE, EACH

HCPCS Code

A6520

GRADIENT COMPRESSION GARMENT, GLOVE, PADDED, FOR NIGHTTIME USE, CUSTOM, EACH

HCPCS Code

A6521

GRADIENT COMPRESSION GARMENT, ARM, PADDED, FOR NIGHTTIME USE, EACH

HCPCS Code

A6522

GRADIENT COMPRESSION GARMENT, ARM, PADDED, FOR NIGHTTIME USE, CUSTOM, EACH

HCPCS Code

A6523

GRADIENT COMPRESSION GARMENT, LOWER LEG AND FOOT, PADDED, FOR NIGHTTIME USE, EACH

HCPCS Code

A6524

GRADIENT COMPRESSION GARMENT, LOWER LEG AND FOOT, PADDED, FOR NIGHTTIME USE, CUSTOM, EACH

HCPCS Code

A6525

GRADIENT COMPRESSION GARMENT, FULL LEG AND FOOT, PADDED, FOR NIGHTTIME USE, EACH

HCPCS Code

A6526

GRADIENT COMPRESSION GARMENT, FULL LEG AND FOOT, PADDED, FOR NIGHTTIME USE, CUSTOM, EACH

HCPCS Code

A6527

GRADIENT COMPRESSION GARMENT, BRA, FOR NIGHTTIME USE, EACH

HCPCS Code

A6528

GRADIENT COMPRESSION GARMENT, BRA, FOR NIGHTTIME USE, CUSTOM, EACH

HCPCS Code

A6529

GRADIENT COMPRESSION STOCKING, BELOW KNEE, 18-30 MMHG, EACH

HCPCS Code

A6530

GRADIENT COMPRESSION STOCKING, THIGH LENGTH, 18-30 MMHG, EACH

HCPCS Code

A6533

GRADIENT COMPRESSION STOCKING, THIGH LENGTH, 30-40 MMHG, EACH

HCPCS Code

A6534

GRADIENT COMPRESSION STOCKING, THIGH LENGTH, 40 MMHG OR GREATER, EACH

HCPCS Code

A6535

GRADIENT COMPRESSION STOCKING, FULL LENGTH/CHAP STYLE, 18-30 MMHG, EACH

HCPCS Code

A6536

GRADIENT COMPRESSION STOCKING, FULL LENGTH/CHAP STYLE, 30-40 MMHG, EACH

HCPCS Code

A6537

GRADIENT COMPRESSION STOCKING, FULL LENGTH/CHAP STYLE, 40 MMHG OR GREATER, EACH

HCPCS Code

A6538

GRADIENT COMPRESSION STOCKING, WAIST LENGTH, 18-30 MMHG, EACH

HCPCS Code

A6539

GRADIENT COMPRESSION STOCKING, WAIST LENGTH, 30-40 MMHG, EACH

HCPCS Code

A6540

GRADIENT COMPRESSION STOCKING, WAIST LENGTH, 40 MMHG OR GREATER, EACH

HCPCS Code

A6541

GRADIENT COMPRESSION STOCKING, GARTER BELT

HCPCS Code

A6544

GRADIENT COMPRESSION GARMENT, NOT OTHERWISE SPECIFIED, FOR DAYTIME USE, EACH

HCPCS Code

A6549

GRADIENT COMPRESSION STOCKING, BELOW KNEE, 30-40 MMHG, EACH

HCPCS Code

A6552

GRADIENT COMPRESSION STOCKING, BELOW KNEE, 30-40 MMHG, CUSTOM, EACH

HCPCS Code

A6553

GRADIENT COMPRESSION STOCKING, BELOW KNEE, 40 MMHG OR GREATER, EACH

HCPCS Code

A6554

GRADIENT COMPRESSION STOCKING, BELOW KNEE, 40 MMHG OR GREATER, CUSTOM, EACH

HCPCS Code

A6555

GRADIENT COMPRESSION STOCKING, THIGH LENGTH, 18-30 MMHG, CUSTOM, EACH

HCPCS Code

A6556

GRADIENT COMPRESSION STOCKING, THIGH LENGTH, 30-40 MMHG, CUSTOM, EACH

HCPCS Code

A6557

GRADIENT COMPRESSION STOCKING, THIGH LENGTH, 40 MMHG OR GREATER, CUSTOM, EACH

HCPCS Code

A6558

GRADIENT COMPRESSION STOCKING, FULL LENGTH/CHAP STYLE, 18-30 MMHG, CUSTOM, EACH

HCPCS Code

A6559

GRADIENT COMPRESSION STOCKING, FULL LENGTH/CHAP STYLE, 30-40 MMHG, CUSTOM, EACH

HCPCS Code

A6560

GRADIENT COMPRESSION STOCKING, FULL LENGTH/CHAP STYLE, 40 MMHG OR GREATER, CUSTOM, EACH

HCPCS Code

A6561

GRADIENT COMPRESSION STOCKING, WAIST LENGTH, 18-30 MMHG, CUSTOM, EACH

HCPCS Code

A6562

GRADIENT COMPRESSION STOCKING, WAIST LENGTH, 30-40 MMHG, CUSTOM, EACH

HCPCS Code

A6563

GRADIENT COMPRESSION STOCKING, WAIST LENGTH, 40 MMHG OR GREATER, CUSTOM, EACH

HCPCS Code

A6564

GRADIENT COMPRESSION GAUNTLET, CUSTOM, EACH

HCPCS Code

A6565

GRADIENT COMPRESSION GARMENT, NECK/HEAD, EACH

HCPCS Code

A6566

GRADIENT COMPRESSION GARMENT, NECK/HEAD, CUSTOM, EACH

HCPCS Code

A6567

GRADIENT COMPRESSION GARMENT, TORSO AND SHOULDER, EACH

HCPCS Code

A6568

GRADIENT COMPRESSION GARMENT, TORSO/SHOULDER, CUSTOM, EACH

HCPCS Code

A6569

GRADIENT COMPRESSION GARMENT, GENITAL REGION, EACH

HCPCS Code

A6570

GRADIENT COMPRESSION GARMENT, GENITAL REGION, CUSTOM, EACH

HCPCS Code

A6571

GRADIENT COMPRESSION GARMENT, TOE CAPS, EACH

HCPCS Code

A6572

GRADIENT COMPRESSION GARMENT, TOE CAPS, CUSTOM, EACH

HCPCS Code

A6573

GRADIENT COMPRESSION ARM SLEEVE AND GLOVE COMBINATION, CUSTOM, EACH

HCPCS Code

A6574

GRADIENT COMPRESSION ARM SLEEVE AND GLOVE COMBINATION, EACH

HCPCS Code

A6575

GRADIENT COMPRESSION ARM SLEEVE, CUSTOM, MEDIUM WEIGHT, EACH

HCPCS Code

A6576

GRADIENT COMPRESSION ARM SLEEVE, CUSTOM, HEAVY WEIGHT, EACH

HCPCS Code

A6577

GRADIENT COMPRESSION ARM SLEEVE, EACH

HCPCS Code

A6578

GRADIENT COMPRESSION GLOVE, CUSTOM, MEDIUM WEIGHT, EACH

HCPCS Code

A6579

GRADIENT COMPRESSION GLOVE, CUSTOM, HEAVY WEIGHT, EACH

HCPCS Code

A6580

GRADIENT COMPRESSION GLOVE, EACH

HCPCS Code

A6581

GRADIENT COMPRESSION GAUNTLET, EACH

HCPCS Code

A6582

GRADIENT COMPRESSION WRAP WITH ADJUSTABLE STRAPS, BELOW KNEE, EACH

HCPCS Code

A6583

GRADIENT COMPRESSION WRAP WITH ADJUSTABLE STRAPS, NOT OTHERWISE SPECIFIED

HCPCS Code

A6584

GRADIENT COMPRESSION WRAP WITH ADJUSTABLE STRAPS, ABOVE KNEE, EACH

HCPCS Code

A6585

GRADIENT COMPRESSION WRAP WITH ADJUSTABLE STRAPS, FULL LEG, EACH

HCPCS Code

A6586

GRADIENT COMPRESSION WRAP WITH ADJUSTABLE STRAPS, FOOT, EACH

HCPCS Code

A6587

GRADIENT COMPRESSION WRAP WITH ADJUSTABLE STRAPS, ARM, EACH

HCPCS Code

A6588

GRADIENT PRESSURE WRAP WITH ADJUSTABLE STRAPS, BRA, EACH

HCPCS Code

A6589

ACCESSORY FOR GRADIENT COMPRESSION GARMENT OR WRAP WITH ADJUSTABLE STRAPS, NOT-OTHERWISE SPECIFIED

HCPCS Code

A6593

GRADIENT COMPRESSION BANDAGING SUPPLY, BANDAGE LINER, LOWER EXTREMITY, ANY SIZE OR LENGTH, EACH

HCPCS Code

A6594

GRADIENT COMPRESSION BANDAGING SUPPLY, BANDAGE LINER, UPPER EXTREMITY, ANY SIZE OR LENGTH, EACH

HCPCS Code

A6595

GRADIENT COMPRESSION BANDAGING SUPPLY, CONFORMING GAUZE, PER LINEAR YARD, ANY WIDTH, EACH

HCPCS Code

A6596

GRADIENT COMPRESSION BANDAGE ROLL, ELASTIC LONG STRETCH, LINEAR YARD, ANY WIDTH, EACH

HCPCS Code

A6597

GRADIENT COMPRESSION BANDAGE ROLL, ELASTIC MEDIUM STRETCH, PER LINEAR YARD, ANY WIDTH, EACH

HCPCS Code

A6598

GRADIENT COMPRESSION BANDAGE ROLL, INELASTIC SHORT STRETCH, PER LINEAR YARD, ANY WIDTH, EACH

HCPCS Code

A6599

GRADIENT COMPRESSION BANDAGING SUPPLY, HIGH DENSITY FOAM SHEET, PER 250 SQUARE CENTIMETERS, EACH

HCPCS Code

A6600

GRADIENT COMPRESSION BANDAGING SUPPLY, HIGH DENSITY FOAM PAD, ANY SIZE OR SHAPE, EACH

HCPCS Code

A6601

GRADIENT COMPRESSION BANDAGING SUPPLY, HIGH DENSITY FOAM ROLL FOR BANDAGE, PER LINEAR YARD, ANY WIDTH, EACH

HCPCS Code

A6602

GRADIENT COMPRESSION BANDAGING SUPPLY, LOW DENSITY CHANNEL FOAM SHEET, PER 250 SQUARE CENTIMETERS, EACH

HCPCS Code

A6603

GRADIENT COMPRESSION BANDAGING SUPPLY, LOW DENSITY FLAT FOAM SHEET, PER 250 SQUARE CENTIMETERS, EACH

HCPCS Code

A6604

GRADIENT COMPRESSION BANDAGING SUPPLY, PADDED FOAM, PER LINEAR YARD, ANY WIDTH, EACH

HCPCS Code

A6605

GRADIENT COMPRESSION BANDAGING SUPPLY, PADDED TEXTILE, PER LINEAR YARD, ANY WIDTH, EACH

HCPCS Code

A6606

GRADIENT COMPRESSION BANDAGING SUPPLY, TUBULAR PROTECTIVE ABSORPTION LAYER, PER LINEAR YARD, ANY WIDTH, EACH

HCPCS Code

A6607

GRADIENT COMPRESSION BANDAGING SUPPLY, TUBULAR PROTECTIVE ABSORPTION PADDED LAYER, PER LINEAR YARD, ANY WIDTH, EACH

HCPCS Code

A6608

GRADIENT COMPRESSION BANDAGING SUPPLY, NOT OTHERWISE SPECIFIED

HCPCS Code

A6609

GRADIENT COMPRESSION STOCKING, BELOW KNEE, 18-30 MMHG, CUSTOM, EACH

HCPCS Code

A6610

GRADIENT COMPRESSION WRAP WITH ADJUSTABLE STRAPS, ABOVE KNEE, EACH, CUSTOM

HCPCS Code

A6611