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All PlansReimbursementMedium impact

Durable Medical Equipment Providers - Fee Schedule Update Effective March 1, 2016

Connecticut Medicaid (HUSKY Health)·Wound Care, Vascular Surgery, PM&R (Physical Medicine & Rehab)·Reimbursement
Effective date
Mar 1, 2016
We identified it
Jun 20, 2026
Days to comply

Summary

Effective March 1, 2016, HCPCS code A6530 (gradient compression stockings below knee, 18-30 mmHg) is now limited to 4 units per 6-month period for durable medical equipment providers. Claims exceeding this limit will likely be denied.

Action Required

Action needed
By March 1, 2016: Billing team must update DME billing system to enforce maximum of 4 units per 6 months for HCPCS code A6530. Add frequency tracking and alerts to prevent claims that exceed this limit. Monitor for revised Policy Bulletin with additional details.

Affected Billing Codes

A6530