A6536 Gc stocking full lngth 18-30Gradient compression stocking, full length/chap style, 18-30 mmhg, each
Status X: statutory exclusion, not paid under the PFS.
A6536 appears in 11 coverage policies from Aetna, Anthem, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Premera Blue Cross, UnitedHealthcare.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Carbon Dioxide Laser (0427) | listed, no stance (range A6501-A6549) | Jul 8, 2026 | payer document |
| Aetna | Compression Garments for the Legs (0482) | covered if criteria are met (range A6530-A6549) | Jul 29, 2026 | payer document |
| Aetna | Intermittent Pneumatic Compression Devices (0500) | listed, no stance (range A6530-A6549) | Jul 10, 2026 | payer document |
| Aetna | Lymphedema (0069) | listed, no stance (range A6530-A6549) | Feb 25, 2026 | payer document |
| Aetna | Varicose Veins (0050) | listed, no stance (range A6530-A6549) | Aug 3, 2026 | payer document |
| Anthem | Lower Extremity Pressure Gradient Compression Stockings (CG-DME-57) | covered if criteria are met | Aug 13, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Garments (L.1.04.400) | covered if criteria are met | payer document | |
| Blue Cross & Blue Shield of Mississippi | Prosthetics (L.1.04.401) | covered if criteria are met | payer document | |
| Blue Cross & Blue Shield of Rhode Island | Compression Garments_Stockings | covered if criteria are met | Apr 1, 2026 | payer document |
| Premera Blue Cross | Non-covered Services and Procedures Page | 12 of 30 | ∞ | listed, no stance | Jun 1, 2026 | payer document |
| UnitedHealthcare | Durable Medical Equipment (DME), Prosthetics, Orthotics (Non-Foot Orthotics), Nutritional Therapy, and Medical Supplies Grid (MMP028.23) Lymphedema Compression Treatment Items | DME | Coverage criteria apply; refer to the | listed, no stance | Oct 1, 2025 | payer document |
Prior authorization required or conditional in LA, MA, NY, OH, VA, WV.
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.