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    v1.0.28
    OpenPayerBilling CodesMedical And Surgical SuppliesHCPCS hcpcs-a6578-gradient-compression-arm-sleeve
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    HCPCS Level II A6578: Gradient Compression Arm Sleeve, Each

    HCPCS Level II code A6578 describes a single gradient compression arm sleeve, a medical compression garment designed to apply graduated pressure to the upper limb for conditions such as lymphedema or venous insufficiency; the service type is durable medical equipment / compression garment supply, and the typical site of service is outpatient clinics, durable medical equipment suppliers, or home use where the device is fitted or dispensed to the patient.

    For related coverage guidance, see recent payer policy updates: Salivary Hormone Testing, Bone Turnover Markers Testing, Parathyroid Hormone, Phosphorus, Calcium, and Magnesium Testing.

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    Table of contents

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    Clinical & Coding Specifications

    Clinical Context

    A patient presents to an outpatient orthotics and prosthetics clinic or an orthopedic specialty office with unilateral upper‑extremity lymphedema, chronic venous insufficiency of the arm, or post‑mastectomy swelling leading to pain, heaviness, and reduced function. The patient has a physician order for a gradient compression arm sleeve, A6578, to provide graduated compression from distal to proximal to reduce edema and improve venous/lymphatic return. Initial evaluation includes measurement and fitting by a certified orthotist or lymphedema therapist, documentation of limb measurements, color and sensory inspection of the skin, and education on donning, doffing, wear schedule, and skin care. Follow‑up visits occur to assess fit, skin integrity, symptom improvement, and to replace the sleeve when clinically indicated due to wear, size change, or medical necessity. Typical sites of service include outpatient orthotics/prosthetics clinics, durable medical equipment stores, outpatient rehabilitation clinics, and physician offices.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    97162Physical therapy evaluation, moderate complexityUsed for initial lymphedema/arm edema evaluation that precedes prescription of A6578.
    97110Therapeutic exercisesPerformed by therapists to improve range of motion and strength alongside compression therapy.
    97140Manual therapy techniquesLymphatic drainage techniques that are commonly performed before/with fitting of a compression sleeve.
    99455Work related or medical disability examinationMay be used when documentation of functional status with compression therapy is needed for disability evaluations.
    99070Supplies and materials (for DME)Billed by suppliers for nonstandard materials or ancillary items related to the sleeve fitting and provision.
    A9150Patient education/ training (DMEPOS)Code sometimes used by suppliers to bill for training services associated with use of compression garments.

    Related Modifiers

    5 rows

    ModifierDescriptionWhen to Use
    62Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
    78CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
    80CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…

    Related Provider Taxonomies

    8 rows

    Taxonomy CodeSpecialtyNotes
    225100000XPhysical TherapistPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who…
    207RH0000XHematology (Internal Medicine) PhysicianAn internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, cl…
    207Q00000XFamily Medicine PhysicianFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadt…
    2279P1005XPulmonary Rehabilitation Registered Respiratory TherapistThe respiratory therapist can assist the chronic pulmonary patient in returning to an optimal role in society by providing an effective program. It i…
    224Z00000XOccupational Therapy AssistantAn occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council…
    207ZP0007XMolecular Genetic Pathology (Pathology) PhysicianA molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is us…
    367H00000XAnesthesiologist AssistantAn individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants …
    156FX1100XOphthalmic Technician/TechnologistAn ophthalmic technician/technologist assists ophthalmologists by performing ophthalmic clinical functions, including administering eye exams, adminis…

    Related ICD-10-CM Codes

    26 rows

    ICD-10-CM CodeDescription
    G57.61Lesion of plantar nerve, right lower limb
    G89.29Other chronic pain
    G90.9Disorder of the autonomic nervous system, unspecified
    I83.019Varicose veins of right lower extremity with ulcer of unspecified site
    I83.219Varicose veins of right lower extremity with both ulcer of unspecified site and inflammation
    I87.2Venous insufficiency (chronic) (peripheral)
    I89.0Lymphedema, not elsewhere classified
    I97.2Postmastectomy lymphedema syndrome
    L97.124Non-pressure chronic ulcer of left thigh with necrosis of bone
    L97.409Non-pressure chronic ulcer of unspecified heel and midfoot with unspecified severity

    Showing 1–10 of 26

    Related Payer Policy Updates

    Specialty: Endocrinology1 / 3

    5 rows

    PolicyPayerEffective Date
    Salivary Hormone TestingOscar Health2026-10-01
    Bone Turnover Markers TestingOscar Health2026-10-01
    Parathyroid Hormone, Phosphorus, Calcium, and Magnesium TestingOscar Health2026-10-01
    Testosterone — Coverage Criteria for Measurement and MonitoringOscar Health2026-10-01
    Thyroid Disease TestingOscar Health2026-10-01

    Related Codes

    HCPCS-A4206-STERILE-SYRINGE-1CC-NEEDLE

    HCPCS A4206: Syringe with Needle, 1 cc or Less, Sterile

    HCPCS-A4207-STERILE-2CC-SYRINGE-WITH-NEEDLE

    HCPCS Level II A4207: Syringe with Needle, Sterile 2 cc

    HCPCS-A4208-STERILE-3CC-SYRINGE-WITH-NEEDLE

    HCPCS Level II A4208: Syringe with Needle, Sterile 3 cc

    HCPCS-A4209-STERILE-SYRINGE-WITH-NEEDLE-5CC-OR-GREATER

    HCPCS Level II A4209: Syringe with Needle, Sterile 5 cc or Greater

    HCPCS-A4210-NEEDLE-FREE-INJECTION-DEVICE

    HCPCS Level II A4210: Needle-free Injection Device, Each

    HCPCS-A4211-SUPPLIES-SELF-ADMINISTERED-INJECTIONS

    HCPCS Level II A4211: Supplies for Self-Administered Injections

    HCPCS-A4212-NON-CORING-NEEDLE-STYLET-CATHETER-ACCESS-SUPPLY

    HCPCS Level II A4212: Non-coring Needle or Stylet with/without Catheter

    HCPCS-A4213-STERILE-SYRINGE-20CC-OR-GREATER

    HCPCS Level II A4213: Syringe, Sterile, 20 cc or Greater, Each

    HCPCS-A4215-STERILE-NEEDLE-SINGLE-EACH

    HCPCS Level II A4215: Needle, Sterile, Any Size

    HCPCS-A4216-STERILE-DILUENT-FLUSH-10ML

    HCPCS Level II A4216: Sterile Diluent/Flush, 10 ml

    Showing 1–10 of 633

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    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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