HCPCS Level II S8422: Gradient Pressure Aid (Sleeve), Custom, Medium Weight

HCPCS Level II code S8422 describes a custom-made gradient pressure aid (sleeve), medium weight, intended as a compressive therapeutic garment to provide graduated compression to an extremity; service type: custom-fitted compression sleeve; typical site of service: outpatient clinic, durable medical equipment supplier, or home fitting by a certified fitter.

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HCPCS Level II S8422: Gradient Pressure Aid (Sleeve), Custom, Medium Weight

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Get alerted when payer policies referencing S8422 are released or updated.

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Clinical & Coding Specifications

Clinical Context

A typical patient is a 58-year-old male with chronic venous insufficiency and symptomatic lower-extremity edema who presents to a vascular clinic for management. After history and physical exam confirm venous stasis changes and measurable limb swelling, the vascular specialist or orthotist performs limb measurements and documents the medical necessity for gradient compression to reduce edema and improve venous return. The patient is fitted for a custom-made medium-weight graduated compression sleeve coded as S8422. Workflow includes: initial evaluation and measurement by a licensed clinician or certified orthotist, fabrication order with detailed measurements and justification, delivery and fitting appointment to confirm fit and function, patient education on wear schedule and skin care, and follow-up to assess efficacy and durability. Typical site of service is an outpatient vascular clinic, orthotics/prosthetics provider facility, or durable medical equipment supplier with a private fitting room. Patients often have prior conservative management (leg elevation, topical care) and may have wound care or referral to a vascular surgeon if underlying pathology requires intervention.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97110`	Therapeutic exercises to develop strength and endurance, range of motion and flexibility	Performed during clinic visits to address mobility and strengthen calf muscle pump that complements compression therapy
`97760`	Orthotic management and training, upper or lower extremity, initial encounter	Used when a clinician provides fitting, adjustment, and patient education for a custom orthotic device such as a compression sleeve
`97530`	Therapeutic activities, direct (one-on-one)	Functional training that may be provided in conjunction with orthotic fitting to improve activities of daily living while using compression
`99456`	Work-related or medical disability evaluation (e.g., impairment)	May be used if documentation for work restrictions related to venous disease and use of compression is required
`81002`	Urinalysis, non-automated, without microscopy	Example ancillary test sometimes performed in outpatient evaluation workflows (not directly related but commonly available in clinic)

Note: Data not available in the input for explicitly related CPT codes; the codes above are commonly performed alongside custom orthotic compression fitting in outpatient workflows.

Related Modifiers

5 rows

Modifier	Description	When to Use
62	Modifier 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…
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
82	Modifier 82 is appended to a surgical CPT code to indicate that an attending physician acted as an assistant because a qualified resident surgeon was unavailable. In teaching hospitals it documents…	- When to use: Append modifier 82 in teaching-hospital settings to indicate a physician served as an assistant surgeon because a qualified resident surgeon was unavailable (includes situations where…
56	Modifier ‑56 indicates the reporting provider furnished only the preoperative management for a surgical procedure and did not perform the intraoperative or postoperative care. It is used in…	- Use Modifier -56 when a provider performs only the preoperative management in a split‑care situation (one physician manages preop care while a different physician performs the intraoperative…
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Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207W00000X	Ophthalmology Physician	An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically train…
207L00000X	Anesthesiology Physician	An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
207RG0300X	Geriatric Medicine (Internal Medicine) Physician	An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects o…
207P00000X	Emergency Medicine Physician	An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospit…
363A00000X	Physician Assistant	A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and…
363AM0700X	Medical Physician Assistant	Physician Assistants & Advanced Practice Nursing Providers · Physician Assistant
207PS0010X	Sports Medicine (Emergency Medicine) Physician	An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the …
332B00000X	Durable Medical Equipment & Medical Supplies	A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for…

HCPCS Level II S2152: Solid Organ Procurement and Transplantation

HCPCS-LEVEL-II-S2266-INDUCED-ABORTION-29-TO-31-WEEKS

HCPCS Level II S2266: Induced Abortion, 29 to 31 Weeks

HCPCS-LEVEL-II-S3630-EOSINOPHIL-COUNT-BLOOD-DIRECT

HCPCS Level II S3630: Eosinophil Count, Blood, Direct

HCPCS-LEVEL-II-S4017-INCOMPLETE-ART-CYCLE-CANCELLED-PRIOR-TO-STIMULATION

HCPCS Level II S4017: Incomplete Cycle — Cancelled Prior to Stimulation

HCPCS-LEVEL-II-S8055-ULTRASOUND-GUIDANCE-MULTIFETAL-REDUCTION-TC

HCPCS Level II S8055: Ultrasound Guidance for Multifetal Pregnancy Reduction

HCPCS-LEVEL-II-S8940-EQUESTRIAN-HIPPOTHERAPY-PER-SESSION

HCPCS Level II S8940: Equestrian/Hippotherapy, Per Session

HCPCS-LEVEL-II-S9024-PARANASAL-SINUS-ULTRASOUND

HCPCS Level II S9024: Paranasal Sinus Ultrasound

HCPCS-LEVEL-II-S9366-HOME-TPN-1-2L-PER-DAY-HOME-INFUSION

HCPCS Level II S9366: Home Infusion TPN, 1–2 L/day

HCPCS-LEVEL-II-S9446-GROUP-PATIENT-EDUCATION-NON-PHYSICIAN

HCPCS S9446: Patient Education, Non-Physician Provider, Group, Per Session

HCPCS-LEVEL-II-S9451-EXERCISE-CLASS-NON-PHYSICIAN-SESSION

HCPCS S9451: Exercise Classes, Non-Physician Provider, Per Session

Showing 1–10 of 532

Frequently Asked Questions

References

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.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.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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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97110`	Therapeutic exercises to develop strength and endurance, range of motion and flexibility	Performed during clinic visits to address mobility and strengthen calf muscle pump that complements compression therapy
`97760`	Orthotic management and training, upper or lower extremity, initial encounter	Used when a clinician provides fitting, adjustment, and patient education for a custom orthotic device such as a compression sleeve
`97530`	Therapeutic activities, direct (one-on-one)	Functional training that may be provided in conjunction with orthotic fitting to improve activities of daily living while using compression
`99456`	Work-related or medical disability evaluation (e.g., impairment)	May be used if documentation for work restrictions related to venous disease and use of compression is required
`81002`	Urinalysis, non-automated, without microscopy	Example ancillary test sometimes performed in outpatient evaluation workflows (not directly related but commonly available in clinic)

Note: Data not available in the input for explicitly related CPT codes; the codes above are commonly performed alongside custom orthotic compression fitting in outpatient workflows.

Related Modifiers

5 rows

Modifier	Description	When to Use
62	Modifier 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…
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
82	Modifier 82 is appended to a surgical CPT code to indicate that an attending physician acted as an assistant because a qualified resident surgeon was unavailable. In teaching hospitals it documents…	- When to use: Append modifier 82 in teaching-hospital settings to indicate a physician served as an assistant surgeon because a qualified resident surgeon was unavailable (includes situations where…
56	Modifier ‑56 indicates the reporting provider furnished only the preoperative management for a surgical procedure and did not perform the intraoperative or postoperative care. It is used in…	- Use Modifier -56 when a provider performs only the preoperative management in a split‑care situation (one physician manages preop care while a different physician performs the intraoperative…
[object Object]

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
207W00000X	Ophthalmology Physician	An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically train…
207L00000X	Anesthesiology Physician	An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
207RG0300X	Geriatric Medicine (Internal Medicine) Physician	An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects o…
207P00000X	Emergency Medicine Physician	An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospit…
363A00000X	Physician Assistant	A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and…
363AM0700X	Medical Physician Assistant	Physician Assistants & Advanced Practice Nursing Providers · Physician Assistant
207PS0010X	Sports Medicine (Emergency Medicine) Physician	An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the …
332B00000X	Durable Medical Equipment & Medical Supplies	A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for…

HCPCS Level II S2152: Solid Organ Procurement and Transplantation

HCPCS-LEVEL-II-S2266-INDUCED-ABORTION-29-TO-31-WEEKS

HCPCS Level II S2266: Induced Abortion, 29 to 31 Weeks

HCPCS-LEVEL-II-S3630-EOSINOPHIL-COUNT-BLOOD-DIRECT

HCPCS Level II S3630: Eosinophil Count, Blood, Direct

HCPCS-LEVEL-II-S4017-INCOMPLETE-ART-CYCLE-CANCELLED-PRIOR-TO-STIMULATION

HCPCS Level II S4017: Incomplete Cycle — Cancelled Prior to Stimulation

HCPCS-LEVEL-II-S8055-ULTRASOUND-GUIDANCE-MULTIFETAL-REDUCTION-TC

HCPCS Level II S8055: Ultrasound Guidance for Multifetal Pregnancy Reduction

HCPCS-LEVEL-II-S8940-EQUESTRIAN-HIPPOTHERAPY-PER-SESSION

HCPCS Level II S8940: Equestrian/Hippotherapy, Per Session

HCPCS-LEVEL-II-S9024-PARANASAL-SINUS-ULTRASOUND

HCPCS Level II S9024: Paranasal Sinus Ultrasound

HCPCS-LEVEL-II-S9366-HOME-TPN-1-2L-PER-DAY-HOME-INFUSION

HCPCS Level II S9366: Home Infusion TPN, 1–2 L/day

HCPCS-LEVEL-II-S9446-GROUP-PATIENT-EDUCATION-NON-PHYSICIAN

HCPCS S9446: Patient Education, Non-Physician Provider, Group, Per Session

HCPCS-LEVEL-II-S9451-EXERCISE-CLASS-NON-PHYSICIAN-SESSION

HCPCS S9451: Exercise Classes, Non-Physician Provider, Per Session

Showing 1–10 of 532

Frequently Asked Questions

References

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.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.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.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

HCPCS Level II S8422: Gradient Pressure Aid (Sleeve), Custom, Medium Weight

Sign up for hcpcs S8422 policy alerts

OpenPayer

HCPCS Level II S8422: Gradient Pressure Aid (Sleeve), Custom, Medium Weight

Sign up for hcpcs S8422 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

References

HCPCS Level II S8422: Gradient Pressure Aid (Sleeve), Custom, Medium Weight

Sign up for hcpcs S8422 policy alerts

HCPCS Level II S8422: Gradient Pressure Aid (Sleeve), Custom, Medium Weight

Sign up for hcpcs S8422 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What does HCPCS code S8422 describe and where is it typically provided?

What clinical documentation and workflow are described for prescribing and fitting a custom gradient compression sleeve?

Which modifiers are commonly used with S8422 and what do they indicate?

Which specialties or provider types are typically involved in care and billing for S8422?

What diagnosis and related procedure codes are listed as commonly associated with S8422?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What does HCPCS code S8422 describe and where is it typically provided?

What clinical documentation and workflow are described for prescribing and fitting a custom gradient compression sleeve?

Which modifiers are commonly used with S8422 and what do they indicate?

Which specialties or provider types are typically involved in care and billing for S8422?

What diagnosis and related procedure codes are listed as commonly associated with S8422?

References