Huggers are eligible for coverage by most public & private insurance as a pocketed post-surgical bra / binder and lymphedema bra or garment. Yay!
HCPCS Codes & Billing Information
Ready to process insurance? You are awesome & we appreciate you!
Typical HCPCS Codes utilized for billing / reimbursement, to be confirmed specific to your patient/customer requirements, are:
- Post-Surgical Pocketed Compression Bra / Binder
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L8001, L8002, L8000, L8015
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- Pro-Tip: While a supplier cannot go below MAP/MSRP pricing when billing, you can fairly bill above the MAP/MSRP based on your overhead costs, etc.
- Huggers for Post Surgical and Lymphedema Management & Drain Management
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- Lymphedema Gradient Compression Bra and Gradient Compression Garment
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- A6528, A6568, A6549, A6519, A6589 (all Huggers) & A6593 (Prima/Vida Extenders)
- Requires Lymphedema Diagnosis: I89.0, I97.2, 197.89, Q82.0
- Huggers can be used as a 24/7 (day & night) gradient compression garment per patient's requirements/diagnosis.
- A6528, A6568, A6549, A6519, A6589 (all Huggers) & A6593 (Prima/Vida Extenders)
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- Referral Form - one stop shop form to use with your patients' Huggers (either through you or a referral) with required billing information in one place 🫶🏼.
- FDA Registration # 3030926968 - Huggers - Class 1, Therapeutic Medical Binder
- Uniform Allowance
- Eligible for Uniform Allowance coverage (First Responder, Airline, Med Pro, etc.) - ask your Provider!
Looking for additional billing or reimbursement information specific to Medicare?
- Links to additional Medicare information resources:
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- CMS.GOV - Fee Schedule
- CGSMEDICARE.COM - Code Reference
- DMEPDAC.COM
- List of HCPCS Codes that require a PDAC Verification Letter
- Note: None of the HCPCS codes listed above for Huggers require a PDAC Verification Letter for coverage.
- List of HCPCS Codes that require a PDAC Verification Letter
- Jurisdiction Fee Schedules & Contact Information:
- Jurisdiction A, Jurisdiction B, Jurisdiction C, Jurisdiction D
- Suppliers are responsible for following appropriate and accurate billing practices. If you have questions in regards to billing, it is recommended that you contact the appropriate billing experts or insurance representatives (private or public).
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Don't process insurance?
- Check out our Insurance Article for patients HERE
Please note: Prairie Wear does not coordinate, verify or process insurance requests and 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. - we just make really awesome compression bras that are made to help you & your patients feel better & get better 💛