S8420 – Gradient pressure aid (sleeve and glove combination), custom made

HCPCS Level II code · S codes: Temporary National Codes (Non-Medicare)

Active code Not payable by Medicare

HCPCS codeS8420
Long description
Gradient pressure aid (sleeve and glove combination), custom made
Short description
Custom gradient sleev/glov
Pricing indicator
00 Not separately priced by Part B (bundled, not covered or Part A only)
Medicare coverage
I Not payable by Medicare
BETOS category
Z2 Undefined codes
Added
January 1, 2002
Last change
January 1, 2002 – No change

Frequently asked questions

What is HCPCS code S8420?

S8420 is a HCPCS Level II code for gradient pressure aid (sleeve and glove combination), custom made.

Does Medicare cover S8420?

The HCPCS file lists coverage code I: Not payable by Medicare. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby S codes

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