A6603 HCPCS code: Gradient compression bandaging supply, low density channel foam sheet, per 250 square centimeters, each
A6603 is the HCPCS Level II code for gradient compression bandaging supply, low density channel foam sheet, per 250 square centimeters, each. The 2026 Medicare DMEPOS fee schedule pays $2.36 depending on the state. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. In 2024, 7 suppliers billed Medicare for A6603 (purchases), serving 18 beneficiaries. Its average fee ranks 4 of 10 A66 codes (family range $1.25–$226.38).
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 | 2024-01-01 |
| Last action effective | 2024-01-01 |
2026 Medicare DMEPOS fee schedule for A6603
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $2.36 | $2.36 | — | — |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $2.36 | — |
| AL | — | $2.36 | — |
| AR | — | $2.36 | — |
| AZ | — | $2.36 | — |
| CA | — | $2.36 | — |
| CO | — | $2.36 | — |
| CT | — | $2.36 | — |
| DC | — | $2.36 | — |
| DE | — | $2.36 | — |
| FL | — | $2.36 | — |
| GA | — | $2.36 | — |
| HI | — | $2.36 | — |
| IA | — | $2.36 | — |
| ID | — | $2.36 | — |
| IL | — | $2.36 | — |
| IN | — | $2.36 | — |
| KS | — | $2.36 | — |
| KY | — | $2.36 | — |
| LA | — | $2.36 | — |
| MA | — | $2.36 | — |
| MD | — | $2.36 | — |
| ME | — | $2.36 | — |
| MI | — | $2.36 | — |
| MN | — | $2.36 | — |
| MO | — | $2.36 | — |
| MS | — | $2.36 | — |
| MT | — | $2.36 | — |
| NC | — | $2.36 | — |
| ND | — | $2.36 | — |
| NE | — | $2.36 | — |
| NH | — | $2.36 | — |
| NJ | — | $2.36 | — |
| NM | — | $2.36 | — |
| NV | — | $2.36 | — |
| NY | — | $2.36 | — |
| OH | — | $2.36 | — |
| OK | — | $2.36 | — |
| OR | — | $2.36 | — |
| PA | — | $2.36 | — |
| PR | — | $2.36 | — |
| RI | — | $2.36 | — |
| SC | — | $2.36 | — |
| SD | — | $2.36 | — |
| TN | — | $2.36 | — |
| TX | — | $2.36 | — |
| UT | — | $2.36 | — |
| VA | — | $2.36 | — |
| VI | — | $2.36 | — |
| VT | — | $2.36 | — |
| WA | — | $2.36 | — |
| WI | — | $2.36 | — |
| WV | — | $2.36 | — |
| WY | — | $2.36 | — |
How the A6603 fee compares
| Measure | Value |
|---|---|
| Rank among 10 A66 codes (lowest = 1) | 4 |
| Family fee range (average of state fees) | $1.25–$226.38 |
| Rural fee uplift | — |
Who bills A6603 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 7 |
| Referring clinicians | 16 |
| Medicare beneficiaries | 18 |
| States with claims | 0 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for A6603, 2024–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2024 | 288 | 18 | $2.23 | $1.75 |
What changed for A6603
- 2026-01-01: Average state fee rose 2.6%: $2.30 to $2.36
- 2024-01-01: A6603 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 A6603?
A6603 is the HCPCS Level II code for gradient compression bandaging supply, low density channel foam sheet, per 250 square centimeters, each. Short descriptor: "G com bandge low dn foamchnl".
How much does Medicare pay for A6603?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $2.36. Rural fees can be higher.
Does Medicare cover A6603?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for A6603 change in 2026?
The average non-rural state fee moved from $2.30 in 2025 to $2.36 in 2026 (+2.6%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
Related A66 codes
- A6600 — Gradient compression bandaging supply, high density foam sheet, per 250 square centimeters, each ($3.07–$3.07)
- A6601 — Gradient compression bandaging supply, high density foam pad, any size or shape, each ($3.45–$3.45)
- A6602 — Gradient compression bandaging supply, high density foam roll for bandage, per linear yard, any width, each ($5.03–$5.03)
- A6604 — Gradient compression bandaging supply, low density flat foam sheet, per 250 square centimeters, each ($1.38–$1.38)
- A6605 — Gradient compression bandaging supply, padded foam, per linear yard, any width, each ($1.57–$1.57)
- A6606 — Gradient compression bandaging supply, padded textile, per linear yard, any width, each ($4.67–$4.67)
- A6607 — Gradient compression bandaging supply, tubular protective absorption layer, per linear yard, any width, each ($1.25–$1.25)
- A6608 — Gradient compression bandaging supply, tubular protective absorption padded layer, per linear yard, any width, each ($5.21–$5.21)
- A6609 — Gradient compression bandaging supply, not otherwise specified
- A6610 — Gradient compression stocking, below knee, 18-30 mmhg, custom, each ($226.38–$226.38)
- A6611 — Gradient compression wrap with adjustable straps, above knee, each, custom
- A6614 — Supplies and accessories for use with an external ocular negative pressure pump, any type, per month
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 A6603
- Watch A6603 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A6603
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026; 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.