Huggers are insurance eligible! HCPCS Codes & Insurance Billing Information
Prairie Wear Huggers and Extenders (accessories) are eligible for coverage by most public & private insurance.
Typical HCPCS Codes utilized for billing and reimbursement, to be confirmed specific to your patient/customer requirements, are:
L - Codes - Post-Surgical Pocketed Compression Bra / Binder with Chest Pads
-
L8001, L8002
- Drain Management & Post-Surgical Recovery / Lymphedema Management
A - Codes - Lymphedema Gradient Compression Bra & Gradient Compression Garment
- A6568, A6528, A6549, A6519 (all Huggers)
- A6589 (HuggerARIA)
- A6593 (Prima/Vida Extenders)
- A - Codes require a Lymphedema Diagnosis & Prescription: I89.0, I97.2, 197.89, Q82.0
- FDA Registration # 3030926968 - Huggers - Class 1, Therapeutic Medical Binder
L & A - Code Pro-Tips:
- L & A - Codes for Huggers do not require a PDAC Letter
- MAP/MSRP unit price – You can't bill below MAP/MSRP but you can bill above it based on overhead and your Jurisdiction guidelines.
- Fee & Jurisidiction resources:
- CMS.GOV - Fee Schedule 2026, CGSMEDICARE.COM - Codes, DMEPDAC.COM
- Jurisdiction Info: A, B, C, D. Suppliers are responsible for following appropriate and accurate billing practices.
- Updated Modifiers effective Jan 2026 - n/a to any Hugger HCPCS Codes
Patient & Reimbursement Tips:
- Insurance Article for patients HERE
- Referral Form – one form for all Hugger orders, billing info included 🫶🏼
- Prescription – Skip the extra paperwork — just include Prairie Wear on the script.
- Uniform Allowance - Eligible for Uniform Allowance coverage (First Responder, Airline, Med Pro, etc.) - ask your Provider!
Disclaimer: Prairie Wear does not coordinate, verify or process insurance requests. The information is provided “as is” without any expressed or implied warranty. While all information in this document is believed to be correct at the time of writing, this document is for educational purposes only and does not purport to provide legal advice.
