A6577 — Gradient compression arm sleeve, custom, heavy weight, each
A6577 is a HCPCS Level II code for gradient compression arm sleeve, custom, heavy weight, 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 A6577 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 A6577
- Long descriptor
- Gradient compression arm sleeve, custom, heavy weight, each
- Short descriptor
- Custom grad cm sleeve heavy
- 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 A6577
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If A6577 is not quite right, the correct code is very often within a few positions of it.
- A6569Gradient compression garment, torso/shoulder, custom, each
- A6570Gradient compression garment, genital region, each
- A6571Gradient compression garment, genital region, custom, each
- A6572Gradient compression garment, toe caps, each
- A6573Gradient compression garment, toe caps, custom, each
- A6574Gradient compression arm sleeve and glove combination, custom, each
- A6575Gradient compression arm sleeve and glove combination, each
- A6576Gradient compression arm sleeve, custom, medium weight, each
- A6578Gradient compression arm sleeve, each
- A6579Gradient compression glove, custom, medium weight, each
- A6580Gradient compression glove, custom, heavy weight, each
- A6581Gradient compression glove, each
- A6582Gradient compression gauntlet, each
- A6583Gradient compression wrap with adjustable straps, below knee, each
- A6584Gradient compression wrap with adjustable straps, not otherwise specified
- A6585Gradient compression wrap with adjustable straps, above knee, each
Questions about A6577
What is HCPCS code A6577?
A6577 is a HCPCS Level II code for gradient compression arm sleeve, custom, heavy weight, each. It sits in the Transportation, Medical & Surgical Supplies, Administrative section.
Does Medicare cover A6577?
The CMS HCPCS file marks A6577 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 A6577 paid under the physician fee schedule?
A6577 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.