A6451 Mod compres band w>=3"<5"/yd

Moderate compression bandage, elastic, knitted/woven, load resistance of 1.25 to 1.34 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard

Medically Unlikely Edits (effective October 1, 2026)

Medicare pricing for A6451

DMEPOS fee schedule, July 2026 (DME26-C)

Physician Fee Schedule (CY 2026, RVU26D)

Status X: statutory exclusion, not paid under the PFS.

Payer policies and prior authorization for A6451

Payer coverage policies that name A6451

A6451 appears in 3 coverage policies from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaDialysis (0541)covered if criteria are met (range A6010-A6457)Aug 26, 2026payer document
AetnaSurgical Devices, Dressings, and Wound Care Supplies (0526)covered if criteria are met (range A6448-A6452)Aug 26, 2026payer document
AetnaUrological Supplies (0533)not covered (range A6448-A6452)Jul 30, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in CO, MA, OH, VA, WV.

  • AZ: $2.98 (dme), effective Oct 1, 2026
  • CO: $2.04 (chp_plus, non-facility), effective Jul 1, 2026
  • FL: $0.54 (dme), effective Jul 1, 2026
  • IL: $0.36 (dme), effective Jan 1, 2026
  • IN: $2.08 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2026
  • KS: $2.00 (default), effective Jul 1, 2026
  • MD: $2.13 (dme), effective Apr 1, 2026
  • MS: $2.00 (comprehensive), effective Jul 1, 2026
  • NY: $0.18 (dme), effective Jul 1, 2026
  • OH: $3.19 (dme), effective Jan 1, 2005
  • OK: $2.50 (dme), effective Jan 1, 2026
  • TX: $1.94 (dmepos_tos_9_e_j_l_and_r, Home Health Dme, non-facility), effective Apr 1, 2017
  • VA: $2.25 (dme), effective Dec 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WA: $1.63 (medical_equipment_supplies), effective Jul 1, 2026
  • WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.