A4490 – Surgical stockings above knee length, each
HCPCS Level II code · A codes: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental
HCPCS codeA4490
- Long description
- Surgical stockings above knee length, each
- Short description
- Above knee surgical stocking
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
MNon-covered by Medicare- BETOS category
D1AMedical/surgical supplies- Added
- January 1, 1986
- Last change
- January 1, 2003 – No change
Frequently asked questions
What is HCPCS code A4490?
A4490 is a HCPCS Level II code for surgical stockings above knee length, each.
Does Medicare cover A4490?
The HCPCS file lists coverage code M: Non-covered by Medicare. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby A codes
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- A4467 – Belt, strap, sleeve, garment, or covering, any type
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- A4470 – Gravlee jet washer
- A4479 – Electronic transanal irrigation system, includes electronic pump, water reservoir, tubing, and accessories, without catheter, any type
- A4480 – Vabra aspirator
- A4481 – Tracheostoma filter, any type, any size, each
- A4483 – Moisture exchanger, disposable, for use with invasive mechanical ventilation
- A4495 – Surgical stockings thigh length, each
- A4500 – Surgical stockings below knee length, each
- A4510 – Surgical stockings full length, each
- A4520 – Incontinence garment, any type, (e.g., brief, diaper), each
- A4540 – Distal transcutaneous electrical nerve stimulator, stimulates peripheral nerves of the upper arm
- A4541 – Monthly supplies for use of device coded at e0733
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Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.