A6577 – Gradient compression arm sleeve, custom, heavy weight, each
HCPCS Level II code · A codes: Transportation, Medical & Surgical Supplies, Miscellaneous & Experimental
HCPCS codeA6577
- Long description
- Gradient compression arm sleeve, custom, heavy weight, each
- Short description
- Custom grad cm sleeve heavy
- Pricing indicator
40Lymphedema compression treatment items- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
O1LLymphedema Compression Treatment Items (eff 1/1/2024)- Added
- January 1, 2024
- Last change
- January 1, 2024 – No change
Frequently asked questions
What is HCPCS code A6577?
A6577 is a HCPCS Level II code for gradient compression arm sleeve, custom, heavy weight, each.
Does Medicare cover A6577?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby A codes
- A6569 – Gradient compression garment, torso/shoulder, custom, each
- A6570 – Gradient compression garment, genital region, each
- A6571 – Gradient compression garment, genital region, custom, each
- A6572 – Gradient compression garment, toe caps, each
- A6573 – Gradient compression garment, toe caps, custom, each
- A6574 – Gradient compression arm sleeve and glove combination, custom, each
- A6575 – Gradient compression arm sleeve and glove combination, each
- A6576 – Gradient compression arm sleeve, custom, medium weight, each
- A6578 – Gradient compression arm sleeve, each
- A6579 – Gradient compression glove, custom, medium weight, each
- A6580 – Gradient compression glove, custom, heavy weight, each
- A6581 – Gradient compression glove, each
- A6582 – Gradient compression gauntlet, each
- A6583 – Gradient compression wrap with adjustable straps, below knee, each
- A6584 – Gradient compression wrap with adjustable straps, not otherwise specified
- A6585 – Gradient compression wrap with adjustable straps, above knee, each
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.