Surgical stockings thigh length, each
HCPCS code
Name of the Procedure:
Surgical Stockings Thigh Length (HCPCS A4495)
Common name(s): Compression socks, compression stockings
Medical term: Thigh-length gradient compression stockings
Summary
Surgical stockings, also known as compression stockings, are specialized hosiery designed to prevent venous disorders such as swelling and clot formation. These thigh-length stockings promote blood flow and reduce the risk of deep vein thrombosis (DVT).
Purpose
Surgical stockings are primarily used to:
- Prevent the formation of blood clots, especially post-surgery or during long periods of inactivity.
- Reduce swelling and improve blood flow in patients with chronic venous insufficiency.
- Assist in managing symptoms of varicose veins and other venous disorders.
Indications
Compression stockings are indicated for:
- Patients recovering from surgery or those at high risk for DVT.
- Individuals with chronic venous insufficiency or varicose veins.
- Those experiencing swelling or edema, especially in the legs.
- Pregnant women at risk of varicose veins.
Preparation
Preparation for using compression stockings includes:
- Getting measured for the correct size to ensure proper compression and fit.
- No specific fasting or medication adjustments are typically required.
- A physical examination to assess the suitability and identify any contraindications.
Procedure Description
- Measurement:
- Leg measurements are taken to ensure the stockings fit correctly, typically around the ankle, calf, and thigh.
- Application:
- The stockings are carefully rolled onto the leg, ensuring they are smooth and wrinkle-free.
- Adjustment:
- Stockings are adjusted to ensure even compression and optimal comfort.
- Tools/Equipment:
- Gradual compression stockings with specified mmHg (millimeters of mercury) levels to ensure adequate pressure gradients.
- Anesthesia:
- Not applicable for this non-invasive procedure.
Duration
Typically takes a few minutes to measure and apply the stockings.
Setting
This can be performed in a variety of settings, including:
- Hospital
- Outpatient clinic
- Home, with proper instruction
Personnel
- Nurses or medical assistants for initial fitting and instruction
- Physicians may prescribe the stockings and assess their effectiveness
Risks and Complications
Common risks include:
- Discomfort if not fitted properly
- Skin irritation or rash
- Rare risks include compression sores or worsening symptoms if contraindications exist Management typically involves adjusting the fit or temporarily discontinuing use.
Benefits
- Improved blood circulation
- Decreased risk of DVT and other venous disorders
- Reduced leg swelling and discomfort Benefits are often realized within a few days of consistent use.
Recovery
Post-procedure care includes:
- Regular inspection of the skin for any irritation
- Following instructions for daily wear and removal
- Routine re-assessment for size and compression adequacy
- Patients typically experience immediate improvement with continued use.
Alternatives
Alternative treatments can include:
- Oral medications like anticoagulants
- Physical therapy and regular exercise
- Other types of compression devices, such as pneumatic compression pumps Pros of alternatives: May be more suitable for patients with allergies to the stocking material or severe arterial disease. Cons of alternatives: Might not be as effective in providing consistent gradient compression.
Patient Experience
Patients might experience:
- Tightness around the legs initially
- Improved comfort and reduced symptoms over time Pain management and comfort measures involve ensuring proper fit and gradually increasing wear time to allow adjustment.