Does A6534 require prior authorization?

No, A6534 does not require prior authorization (high confidence). Covered without prior authorization.

What is the Medicare reimbursement rate for A6534?

Medicare facility rate: N/A. Non-facility rate: N/A. Work RVU: 0.00.

HCPCS/CPT

No Prior Auth Required

Covered without prior authorization (high confidence)

Work RVU

0.00

Facility

N/A

Non-Facility

N/A

An initial purchase of two (2) pairs (2 units) of individually fitted prescription lower extremity gradient compression stockings are consideredmedically necessaryfor individuals who require treatment foranyof the following conditions:
Edema, stasis, varicose veins, or any other disorder of the lower extremity circulation;or
Lipedema;or
Lipodermatosclerosis;or
Lymphedema;or
Postural hypotension;or

ANTHEM-CG-DME-57