HCPCS Code A4490

Surgical stockings above knee length, each
Code effective Jan 01, 2003

HCPCS Section
Transportation Services Including Ambulance, Medical & Surgical Supplies

A4490 is a valid 2026 HCPCS code meaning Surgical stockings above knee length, each or (Above knee surgical stocking) for short. HCPCS A4490 has been effective since 01/01/2003 and applies to Lump sum purchase of DME, prosthetics, orthotics.


HCPCS Code Details - A4490

HCPCS Level II Code
Section A - Transportation Services Including Ambulance, Medical & Surgical Supplies
HCPCS Code A4490
Description

Long description:
Surgical stockings above knee length, each

Short description:
Above knee surgical stocking

HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Coverage code M - Non-covered by Medicare
BETOS2 code D1A - Medical/surgical supplies
HCPCS Action code N - No maintenance for this code
Type of service P - Lump sum purchase of DME, prosthetics, orthotics
Effective date Effective Jan 01, 2003
Date added Added Jan 01, 1986

See also

  • HCPCS A4483 · Moisture exchanger, disposable, for use with invasive mechanical ventilation

  • HCPCS A4495 · Surgical stockings thigh length, each

1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”


HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026

CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.