A6549 HCPCS code: Gradient compression garment, not otherwise specified, for daytime use, each
A6549 is the HCPCS Level II code for gradient compression garment, not otherwise specified, for daytime use, each. In 2024 Medicare paid an average of $280.19 per service for A6549 across 3,620 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. In 2024, 188 suppliers billed Medicare for A6549 (purchases), serving 1,670 beneficiaries; Indiana, Maryland, Pennsylvania accounted for 27% of services.
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 40 — DMEPOS: lymphedema compression treatment item |
| BETOS category | O1L |
| Added | 2006-01-01 |
| Last action effective | 2025-04-01 |
Who bills A6549 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 188 |
| Referring clinicians | 1,432 |
| Medicare beneficiaries | 1,670 |
| States with claims | 31 |
| Share of services in top 3 states (Indiana, Maryland, Pennsylvania) | 27% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for A6549, 2024–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2024 | 3,620 | 1,670 | $360.37 | $280.19 |
States with the most A6549 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Indiana | 348 | $549.03 |
| Maryland | 288 | $215.31 |
| Pennsylvania | 284 | $189.68 |
| Ohio | 217 | $345.15 |
| Massachusetts | 202 | $164.09 |
Medicare policy articles for this code
- A54563: Surgical Dressings - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
What changed for A6549
- April 2025: Descriptor revised (Was: Gradient compression garment, not otherwise specified)
- 2006-01-01: A6549 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code A6549?
A6549 is the HCPCS Level II code for gradient compression garment, not otherwise specified, for daytime use, each. Short descriptor: "Grad com garm noc day use".
How much does Medicare pay for A6549?
In 2024, the average Medicare payment was $280.19 per service (average allowed $360.37).
Does Medicare cover A6549?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Related A65 codes
- A6501 — Compression burn garment, bodysuit (head to foot), custom fabricated
- A6502 — Compression burn garment, chin strap, custom fabricated
- A6503 — Compression burn garment, facial hood, custom fabricated
- A6504 — Compression burn garment, glove to wrist, custom fabricated
- A6505 — Compression burn garment, glove to elbow, custom fabricated
- A6506 — Compression burn garment, glove to axilla, custom fabricated
- A6507 — Compression burn garment, foot to knee length, custom fabricated
- A6508 — Compression burn garment, foot to thigh length, custom fabricated
- A6509 — Compression burn garment, upper trunk to waist including arm openings (vest), custom fabricated
- A6510 — Compression burn garment, trunk, including arms down to leg openings (leotard), custom fabricated
- A6511 — Compression burn garment, lower trunk including leg openings (panty), custom fabricated
- A6512 — Compression burn garment, not otherwise classified
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under A6549
- Watch A6549 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A6549
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.