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Sleeve for intermittent limb compression device, replacement only, each

HCPCS code

Name of the Procedure:

Replacement Sleeve for Intermittent Limb Compression Device (HCPCS Code: A4600)


This procedure involves replacing the sleeve of an intermittent limb compression device, which is utilized to enhance blood circulation in limbs. These devices are commonly used in managing conditions such as lymphedema and preventing deep vein thrombosis (DVT).


The sleeve replacement helps ensure the correct functioning of the limb compression device, which is essential for:

  • Reducing swelling in limbs (lymphedema).
  • Enhancing venous blood return to prevent blood clots (DVT).
  • Maintaining overall limb health and circulation.


  • Patients with chronic lymphedema.
  • Individuals at risk of developing blood clots due to immobility or other medical conditions.
  • Replacement of old, worn-out, or damaged sleeves to ensure continued efficacy and hygiene.


  • There are typically no special pre-procedure instructions.
  • Patients should ensure that the limb is clean and dry before the sleeve is applied.
  • Wear loose-fitting clothing for easy access to the affected limb.

Procedure Description:

  1. The medical professional will first inspect the current sleeve and limb condition.
  2. The old sleeve is carefully removed.
  3. The new sleeve is gently fitted onto the limb.
  4. The sleeve is connected to the intermittent limb compression device.
  5. The device is turned on, and the sleeve’s fit and function are tested to ensure optimal performance.
    • No anesthesia or sedation is required for this procedure.


The procedure typically takes about 15-30 minutes.


Usually performed in an outpatient clinic or a healthcare provider's office.


  • Trained nurses or medical technicians commonly perform the replacement.
  • A healthcare provider may supervise the process.

Risks and Complications:

  • Minor skin irritation or discomfort from the new sleeve.
  • Rare risk of improper fit leading to inadequate compression or excessive pressure.
  • Potential for allergic reactions if the skin is sensitive to the material of the sleeve.


  • Immediate improvement in device performance.
  • Enhanced relief from swelling and prevention of blood clots.
  • Continuation of effective lymphedema management or DVT prophylaxis.


  • No recovery time is needed as it is a non-invasive procedure.
  • Patients can return to their usual activities immediately.
  • Follow-up appointments may be scheduled to ensure the device continues to function correctly.


  • Regular checking and maintenance of the limb compression device to avoid the need for frequent sleeve replacements.
  • Alternative treatment options such as manual lymphatic drainage for lymphedema.
  • Elastic compression stockings as a preventative measure for DVT.

Patient Experience:

  • The patient may feel mild pressure during the fitting but generally experiences minimal discomfort.
  • Post-procedure, the patient should monitor for any signs of irritation or discomfort and report issues to their healthcare provider.
  • Focus on patient comfort with proper instructions on how to use the device and maintain the sleeve.

Medical Policies and Guidelines for Sleeve for intermittent limb compression device, replacement only, each

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