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HCPCS A6525 · Level II · A code

A6525: Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each, HCPCS Level II A code

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: HCPCS Level II file: October 2026 (effective October 1, 2026); PFS relative value file: RVU26D, released August 26, 2026 (effective October 1, 2026); DMEPOS fee schedule: DME26-D (October 2026) (effective October 1, 2026); NCCI MUE tables: 2026 Q4 (effective October 1, 2026); NCCI PTP edits: v323r0 (2026 Q4) (effective October 1, 2026); OPPS Addendum B: October 2026 (effective October 1, 2026). Next CMS release: January 1, 2027 (quarterly update) for the HCPCS Level II file and DMEPOS fee schedule and NCCI MUE tables and NCCI PTP edits and OPPS Addendum B; RVU27A with the CY2027 PFS final rule, effective January 1, 2027 for the PFS relative value file.

Key facts for A6525

Medicare payment
$773.90
DMEPOS non-rural state fees
Coverage code
C
carrier judgment, so the Medicare contractor decides coverage
DME supplier MUE
4
MAI 2
OPPS status
SI A
Services not paid under OPPS; paid under fee schedule or other payment system
NCCI PTP pairs
0
practitioner file
LCDs and articles
0 / 0

TL;DR

A6525 is a Level II code from the A section (transportation, medical and surgical supplies, administrative, miscellaneous and investigational), in use since 2024: "Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each". The October 2026 DMEPOS fee schedule (category LC, lymphedema compression treatment items) sets A6525 at $773.90 in every contiguous state. CMS caps A6525 at DME supplier 4 (MAI 2, CMS Policy) units per day in the 2026 Q4 MUE tables. A6525 appears in no active LCD or billing and coding article, so coverage follows HCPCS coverage code C (carrier judgment, so the Medicare contractor decides coverage) and any NCD. OPPS status indicator A: Services not paid under OPPS; paid under fee schedule or other payment system. HCPCS record: BETOS O1L (lymphedema compression treatment items); pricing indicator 40; type of service S (surgical dressings or other medical supplies). 19 other active codes open with "Gradient compression garment"; related codes: A6524, A6523, A6527, A6522.

A6525 descriptor and code status

The October 2026 HCPCS Level II file describes A6525 as “Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each”. It sits in the A section (transportation, medical and surgical supplies, administrative, miscellaneous and investigational), listed with the other A codes.

HCPCS file attributes of A6525
FieldValue
Short descriptorG com garm lwrleg/ft ngt cus
Added to HCPCS2024-01-01
Last actionN (no maintenance), effective 2024-01-01
Coverage codeC: carrier judgment, so the Medicare contractor decides coverage
Pricing indicator40: DMEPOS lymphedema compression treatment items
BETOS categoryO1L: lymphedema compression treatment items
Type of serviceS: surgical dressings or other medical supplies

Medicare payment for A6525

The October 2026 DMEPOS fee schedule (category LC, lymphedema compression treatment items) sets A6525 at $773.90 in every contiguous state. The amounts below are national figures from the October 2026 CMS files; the contractor applies the locality, rural or state adjustment and the beneficiary's cost sharing.

Physician fee schedule (RVU26D)

Status X: statutory exclusion: not a physician service under the fee schedule. Global period XXX (global surgery concept does not apply); PC/TC indicator 9 (professional/technical concept does not apply).

DMEPOS fee schedule (DME26-D)

Jurisdiction D (DME MAC), payment category LC (lymphedema compression treatment items). Fees are set per state; AK, HI, PR and VI are not subject to the national ceiling and floor and are listed separately. A rural fee applies only in ZIP codes on the CMS rural ZIP list.

DMEPOS fees for A6525 by modifier
ModifierFloor / ceilingNon-rural state rangeRural rangeAK / HI / PR / VI
none—$773.90 (49 states)—AK $773.90, HI $773.90, PR $773.90, VI $773.90

Hospital outpatient (OPPS Addendum B)

Status indicator A (Services not paid under OPPS; paid under fee schedule or other payment system), with no separate OPPS payment rate.

Medically Unlikely Edits for A6525

CMS caps A6525 at DME supplier 4 (MAI 2, CMS Policy) units per day in the 2026 Q4 MUE tables. The DME supplier MUE is a date-of-service policy edit: units above the limit deny even when split across lines, and appeals rarely succeed.

MUE values for A6525 by setting
SettingMUE (units/DOS)MAICMS rationale
DME supplier42 Date of Service Edit: PolicyCMS Policy

The MUE lookup for A6525 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

No active practitioner PTP pair lists A6525 in v323r0.

A6525 is neither an add-on code nor a designated primary code in the 2026 Q4 NCCI add-on edit file.

Pair counts show exposure, not the answer for one claim. Check A6525 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for A6525

No current LCD or billing and coding article lists A6525. The HCPCS coverage code C means carrier judgment, so the Medicare contractor decides coverage, and any National Coverage Determination for the service still applies.

Denials to expect on A6525

CARC 50 · N115

the service is not reasonable and necessary for the diagnosis on the claim

CARC 151 · N362

units of A6525 exceed the DME supplier MUE of 4 per date of service

CARC 4

the modifier reported is inconsistent with the code

CARC 16

the claim lacks information needed to adjudicate the line, such as an order, NPI or required modifier

Where QuickIntell fits for A6525 claims

QuickAuth coordinates the requirement checks and documentation that DME claims for A6525 depend on, with human review of each case, and QuickRCM carries claim readiness and the CARC 50, 151 and modifier denials these items draw.

See QuickAuth for requirement checksSee QuickRCM for denial follow-upBook a meeting

Frequently asked questions: HCPCS A6525

What does HCPCS code A6525 describe?

"Gradient compression garment, lower leg and foot, padded, for nighttime use, custom, each" (short descriptor "G com garm lwrleg/ft ngt cus"), in the A section (transportation, medical and surgical supplies, administrative, miscellaneous and investigational). Added 2024-01-01.

Is A6525 a CPT code?

It is not. A6525 belongs to the A section (transportation, medical and surgical supplies, administrative, miscellaneous and investigational) of HCPCS Level II, the CMS code set, not to AMA CPT.

What does Medicare pay for A6525?

The October 2026 DMEPOS fee schedule (category LC, lymphedema compression treatment items) sets A6525 at $773.90 in every contiguous state.

How many units of A6525 can be billed per day?

CMS caps A6525 at DME supplier 4 (MAI 2, CMS Policy) units per day in the 2026 Q4 MUE tables. For the DME supplier MUE (MAI 2), units above 4 deny for the whole day as a policy limit; denials arrive as CARC 151.

Does Medicare cover A6525?

A6525 appears in no active LCD or billing and coding article, so coverage follows HCPCS coverage code C (carrier judgment, so the Medicare contractor decides coverage) and any NCD.

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

This page is an operational reference compiled from CMS publications: the HCPCS Level II file, the physician, DMEPOS and clinical laboratory fee schedules, OPPS and ASC addenda, NCCI MUE, PTP and add-on edit tables and the Medicare Coverage Database. Amounts are Medicare national figures before locality and state adjustment; Medicaid and commercial payers set their own. CPT codes are shown as numbers only; CPT descriptors are copyright AMA. Nothing here is legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.