Compression therapy products are used to manage edema and promote the return of venous blood flow to the heart. Conventional management with zinc oxideimpregnated bandaging systems, such as an Unna boot, provides inelastic compression. Multilayered, sustained, graduated, high-compression bandages aid in the management of wounds caused by venous insufficiency.
Each component used in the compression therapy system is billed using a specific code for the component, if available. It is the clinician's responsibility to verify coding and payment of each product with the manufacturer.
The HCPCS codes normally assigned to compression bandage systems are:
Light compression bandage
A6448: Width < 3″ per yard.
A6449: Width ≥ 3″ and < 5″ per yard.
A6450: Width ≥ 5″ per yard.
Moderate-high compression bandage
A6451: Moderate-compression bandage, load resistance of 1.25 to 1.34 ft lb at 50% maximum stretch, width >3″ and < 5″ per yard.
A6452: High-compression bandage, load resistance ≥ 1.35 ft lb at 50% maximum stretch, width ≥3″ and < 5″ per yard.
Gradient compression wrap
A6545: Gradient compression wrap, non-elastic, below knee, 3050 mm hg, each.
Self-adherent bandage
A6453: Width <3″ per yard.
A6454: Width ≥3″ and <5″ per yard.
A6455: Width ≥5″ per yard.
Conforming bandage
A6442: Width <3″ per yard.
A6443: Width ≥3″ and <5″ per yard.
A6444: Width >5″ per yard.
A6445: Width <3″ per yard.
A6446: Width ≥3″ and <5″ per yard.
A6447: Width ≥5″ per yard.
Padding bandage
A6441: Width ≥ 3″ and < 5″ per yard.
Zinc pasteimpregnated bandage
A6456: Width ≥3″ and <5″ per yard.
Name of Product | Manufacturer/Distributor | Type of Compression | Subcategory |
---|---|---|---|
= New Product | |||
3M™ Coban™ 2 Two-Layer Light Compression System | 3M Health Care | Inelastic | 2 layer cohesive compression system |
DeWrap | DeRoyal | Elastic | Multilayer compression system |
Fourflex | Medline Industries, Inc. | Elastic | Multilayer compression system |
circaid® juxtacures® | medi USA | Inelastic | Compression garments for lower leg |
circaid® juxtafit® | medi USA | Inelastic | Compression garments for lower leg |
COMPRECARES® | Medline Industries, Inc. | Inelastic | Compression garments for lower leg |
circaid® juxtalite® | medi USA | Inelastic | Compression garments for lower leg |
circaid juxtalite hd | medi USA | Inelastic | Gradient compression for lower leg |
mediven® dual layer | medi USA | Inelastic | Two layer compression stocking system |
mediven® plus | medi USA | Elastic | Compression stockings |
PROFORE LF (Latex-Free) Lite Multi-Layer Reduced Compression Bandage System | Smith & Nephew, Inc. Wound Management | Elastic | Multilayer compression system |
PROFORE LF (Latex-Free) Multi-Layer High Compression Bandage System | Smith & Nephew, Inc. Wound Management | Elastic | Multilayer compression system |
PROFORE Multi-Layer High Compression Bandage System | Smith & Nephew, Inc. Wound Management | Elastic | Multilayer compression system |
Threeflex | Medline Industries, Inc. | Elastic | Multilayer compression system |
3M™ Coban™ 2 Two-Layer Compression System | 3M Health Care | Inelastic | 2 layer cohesive compression system |
UNNA-FLEX Plus Venous Ulcer | ConvaTec | Elastic | Unna boot |
UNNA-FLEX Plus Venous Ulcer Convenience Pack | ConvaTec | Inelastic | Unna boot/paste bandage |
Unna-Z | Medline Industries, Inc. | Inelastic | Unna boots |
Unna-Z Stretch and Unna-Z Stretch with Calamine | Medline Industries, Inc. | Inelastic | |
Unna-Z with Calamine | Medline Industries, Inc. | Inelastic | Unna boots |
VISCOPASTE PB7 | Smith & Nephew, Inc., Wound Management | Inelastic | Paste bandage |
CoFlex TLC | Medline Industries, Inc. | Inelastic | CoFlex TLC |
CoFlex TLC Lite | Medline Industries, Inc. | Inelastic | CoFlex TLC Lite |
FlexPress 4 | DermaRite Industries, LLC | Elastic | Multilayer compression system |
UnnaRite | DermaRite Industries, LLC | Inelastic | Unna boots |
UnnaRite C | DermaRite Industries, LLC | Inelastic | Unna boots |
EXTREMIT-EASE® Compression Garment | AMERX Health Care Corporation | Inelastic | Gradient compression wrap, below knee |