A4490 – Surgical stockings above knee length, each

HCPCS Level II code · A codes: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental

Active code Non-covered by Medicare

HCPCS codeA4490
Long description
Surgical stockings above knee length, each
Short description
Above knee surgical stocking
Pricing indicator
00 Not separately priced by Part B (bundled, not covered or Part A only)
Medicare coverage
M Non-covered by Medicare
BETOS category
D1A Medical/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

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.