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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


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).


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.


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 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

  1. Measurement:
    • Leg measurements are taken to ensure the stockings fit correctly, typically around the ankle, calf, and thigh.
  2. Application:
    • The stockings are carefully rolled onto the leg, ensuring they are smooth and wrinkle-free.
  3. Adjustment:
    • Stockings are adjusted to ensure even compression and optimal comfort.
  4. Tools/Equipment:
    • Gradual compression stockings with specified mmHg (millimeters of mercury) levels to ensure adequate pressure gradients.
  5. Anesthesia:
    • Not applicable for this non-invasive procedure.


Typically takes a few minutes to measure and apply the stockings.


This can be performed in a variety of settings, including:

  • Hospital
  • Outpatient clinic
  • Home, with proper instruction


  • 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.


  • 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.


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.


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.

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