A6563 — Gradient compression stocking, waist length, 30-40 mmhg, custom, each
A6563 is a HCPCS Level II code for gradient compression stocking, waist length, 30-40 mmhg, custom, each. It belongs to the Transportation, Medical & Surgical Supplies, Administrative section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusX
Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
Medically Unlikely Edits — units per day
The most units of A6563 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- DME supplier
- 6 units MAI 2 — Date of Service Edit: Policy · CMS Policy
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for A6563
- Long descriptor
- Gradient compression stocking, waist length, 30-40 mmhg, custom, each
- Short descriptor
- G com stckng waist30-40 cust
- Added
- January 1, 2024
- BETOS
- O1L
- Pricing indicator
- 40 — DMEPOS
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Lymphedema compression treatment items, effective 1 January 2024.
Codes adjacent to A6563
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If A6563 is not quite right, the correct code is very often within a few positions of it.
- A6555Gradient compression stocking, below knee, 40 mmhg or greater, custom, each
- A6556Gradient compression stocking, thigh length, 18-30 mmhg, custom, each
- A6557Gradient compression stocking, thigh length, 30-40 mmhg, custom, each
- A6558Gradient compression stocking, thigh length, 40 mmhg or greater, custom, each
- A6559Gradient compression stocking, full length/chap style, 18-30 mmhg, custom, each
- A6560Gradient compression stocking, full length/chap style, 30-40 mmhg, custom, each
- A6561Gradient compression stocking, full length/chap style, 40 mmhg or greater, custom, each
- A6562Gradient compression stocking, waist length, 18-30 mmhg, custom, each
- A6564Gradient compression stocking, waist length, 40 mmhg or greater, custom, each
- A6565Gradient compression gauntlet, custom, each
- A6566Gradient compression garment, neck/head, each
- A6567Gradient compression garment, neck/head, custom, each
- A6568Gradient compression garment, torso and shoulder, each
- A6569Gradient compression garment, torso/shoulder, custom, each
- A6570Gradient compression garment, genital region, each
- A6571Gradient compression garment, genital region, custom, each
Questions about A6563
What is HCPCS code A6563?
A6563 is a HCPCS Level II code for gradient compression stocking, waist length, 30-40 mmhg, custom, each. It sits in the Transportation, Medical & Surgical Supplies, Administrative section.
Does Medicare cover A6563?
The CMS HCPCS file marks A6563 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
How is A6563 paid under the physician fee schedule?
A6563 carries PFS status code X. Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.