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Surgical stockings below knee length, each

HCPCS code

Name of the Procedure:

Surgical Stockings - Below Knee Length (HCPCS Code A4500)


Surgical stockings, also known as compression stockings, are worn on the lower legs to help improve blood flow and reduce swelling. These stockings are typically knee-length and provide graduated compression, meaning the pressure is highest at the ankle and decreases as it moves up the leg.


Surgical stockings are used to:

  • Improve blood circulation
  • Prevent the formation of blood clots, such as deep vein thrombosis (DVT)
  • Reduce swelling and pain in the lower legs
  • Aid in the healing of vein-related conditions

The main goal is to enhance blood flow and minimize any venous insufficiency issues.


  • Post-surgery recovery to prevent blood clots
  • Varicose veins
  • Chronic venous insufficiency
  • Swelling (edema) of the lower limbs
  • Deep vein thrombosis (DVT) prevention


Preparation is minimal for using surgical stockings:

  • Ensure legs are clean and dry before wearing stockings
  • Follow any specific instructions from your healthcare provider regarding the duration and frequency of use

No diagnostic tests are generally required beforehand unless specified by a healthcare professional.

Procedure Description

  1. Selecting the Right Size: Measure the circumference of your ankle and calf, and the length from the bottom of your foot to the bend of your knee to ensure a proper fit.
  2. Application:
    • Sit down and elevate your leg.
    • Turn the stocking inside out up to the heel portion.
    • Place your foot inside the stocking and gradually roll it up your leg, ensuring it is smooth and wrinkle-free.
  3. Wearing Schedule: Follow your healthcare provider's instructions on how long to wear the stockings each day.

Tools and Equipment:

  • Graduated compression stockings

No anesthesia or sedation is required.


The process of putting on the stockings takes a few minutes. The duration of wearing them varies based on medical advice, often all day during waking hours.


Surgical stockings can be applied at home, in a hospital, or at a clinic.


The process does not require medical personnel, though initial guidance from a nurse or physician may be beneficial.

Risks and Complications

  • Skin irritation or rash
  • Improper fit leading to discomfort or ineffective compression
  • Rarely, decreased blood flow if too tight


  • Improved blood flow and reduced risk of blood clots
  • Decreased swelling and pain
  • Support for ongoing vein-related treatments


No significant recovery period is required. Follow the instructions for daily use and maintenance of the stockings. Regular follow-ups may be needed to assess the effectiveness and condition of the stockings.


  • Elastic bandages: May provide similar compression but can be challenging to apply correctly.
  • Pneumatic compression devices: Typically used in hospital settings for post-surgical patients.
  • Medications: Blood thinners or diuretics, depending on the underlying condition.

Patient Experience

Patients may initially feel tightness and pressure when wearing the stockings. These sensations typically ease as they become accustomed to the fit. Pain management is generally not necessary, though ensuring proper application can enhance comfort.

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