Free Signup

Jobst Opaque Knee High Compression Stockings

BSN Medical, Inc.
Jobst Opaque Open Toe Knee High Petite is made from an exceptionally soft multifiber yarn for a total smooth elegant look. This yarn offers a superior long lasting durability and easy to slide on access. The 15-20 mmHg offers a minimal compression to help improve the blood flow and decrease swelling and bloods clots sometimes formed in the legs. Jobst Opaque Knee High has a reinforced toe and a durable heel to provide a long lasting stocking.
* The product information contained on this page, including the product images and additional product materials, was collected from various supplier sources. All product claims and specifications are those of the product suppliers. Every effort has been made to ensure the accuracy of the product information, however on occasion manufacturers may alter their products or packaging without notice. Wound Reference assumes no liability for inaccuracies or misstatements about products. The properties of a product may change or be inaccurate following the posting or printing of the product information in the document, either in the print or online version. Due to product changes, information listed in this document is subject to change without notice. We recommend that you always read labels, warnings and instructions for use before using a product. Content on this site is for reference purposes and is not intended to be a substitute for professional advice given by a physician or other licensed healthcare professional.

ESSENTIALS

Product
Rating
Suppliers Price
HCPCS Class
HCPCS
Jobst Opaque Knee-High 15-20mmHg Open Toe
$35.22
Amazon
Price & Buy
All prices
Gradient compression stocking, below knee, 18-30 mmHg, each
A6530
Jobst Opaque Knee-High 15-20mmHg, Closed Toe
$27.64
Amazon
Price & Buy
All prices
Gradient compression stocking, below knee, 18-30 mmHg, each
A6530
Jobst Opaque Knee-High 20-30 mmHg Closed Toe
$63.31
Amazon
Price & Buy
All prices
Gradient compression stocking, below knee, 18-30 mmHg, each
A6530
Jobst Opaque Knee-High 20-30 mmHg Open Toe
$63.31
Amazon
Price & Buy
All prices
Gradient compression stocking, below knee, 18-30 mmHg, each
A6530
Jobst Opaque Knee-High 30-40 mmHg Closed Toe
$55.81
Amazon
Price & Buy
All prices
Compression stocking below knee, 30-40 mmHg, each
A6531
* Hover on the information button next to each header for detailed explanation on the type of information provided by the table
Choose the state for Medicare
DME coverage and co-payment
Manufacturer
Product
Rating
Suppliers Price
Patient DME Co-Payment per Billable Unit
DME Reimbursement to Suppliers
Frequency Replacement if Requirements Met
Office and/or Facility - Product reimbursement
Jobst Opaque Knee-High 15-20mmHg Open Toe
$35.22
Amazon
Price & Buy
All prices
$.00
each (non-covered)
$.00
Not covered
Jobst Opaque Knee-High 15-20mmHg, Closed Toe
$27.64
Amazon
Price & Buy
All prices
$.00
each (non-covered)
$.00
Not covered
Jobst Opaque Knee-High 20-30 mmHg Closed Toe
$63.31
Amazon
Price & Buy
All prices
$.00
each (non-covered)
$.00
Not covered
Jobst Opaque Knee-High 20-30 mmHg Open Toe
$63.31
Amazon
Price & Buy
All prices
$.00
each (non-covered)
$.00
Not covered
Jobst Opaque Knee-High 30-40 mmHg Closed Toe
$55.81
Amazon
Price & Buy
All prices
$9.74
each
$48.69
1 unit per leg/ 6 months
* Every effort has been made to ensure the accuracy of the product information, however you should visit the manufacturer's website for the latest information.
* Hover on the information button next to each header for detailed explanation on the type of information provided by the table
No CPT codes to display.
  • Hover on the information button next to each header for detailed explanation on the type of information provided by the table
  • The information provided on this website is informational only. This is not a guarantee of Reimbursement Rates, nor is it intended to make recommendations regarding clinical practices. Information on this website is subject to change with out notice due to changes in reimbursement laws, regulations, rules and policies. The ultimate responsibility for correct coding lies with the provider of services. Please contact the appropriate payer for their interpretation of the appropriate code to use for the procedure.
  • CPT® is a registered trademark of the American Medical Association. All CPT codes and descriptions are copyrighted 2018, American Medical Association. All rights reserved. CPT codes and CPT descriptions are from the current manuals and those included herein are not intended to be all-inclusive and are included for informational purposes only. Codes referenced on Wound Reference are for informational purposes only. Inclusion or exclusion of any codes does not guarantee coverage. Providers should reference the American Medical Association prior to the submission of claims for reimbursement of covered services.

CLINICAL

Overview

Specifications/Features

  • Off-the-shelf (ready-to-wear) opaque color gradient compression stockings with soft feel for women
  • Benefits below from the manufacturer’s website [1]:
    • Moisture wicking: Nilit Aquarius fibers wick away moisture and give a feeling of comfort all day long
    • Easy donning: Double-covered high-stretch inlay yarns make JOBST® Opaque easy to don
    • Hides blemishes: opacity discreetly covers blemishes

How supplied/sizing

  • See ‘Manufacturer’s part numbers’
  • Compression levels: 15-20 mmHg, 20-30 mmHg, 30-40 mmHg
  • Styles: knee high, thigh high and waist high pantyhose
  • Toe style: Open and Closed
  • Colors: Classic Black, Espresso, Honey, Midnight Navy, Natural


Indications

Below is a summary of indications to gradient compression stockings. For more information, see “Gradient compressions stockings”, in the section ‘Indications’.

  • Chronic venous disease
    • Treat active venous ulcer (VLU)
    • Prevent new or recurrent VLU
    • Spider veins and reticular varices (C1), varicose veins (C2), edema (C3) and skin changes (C4), with heavy, tired legs
    • Post-venous interventions
  • Deep vein thrombosis prophylaxis
  • Lymphedema
  • Superficial thrombophlebitis

Contraindications

Below is a summary of contraindications to compression therapies and gradient compression stockings. For more information see “Compression Therapies for Venous Ulcers”, in section ‘Contraindications’.

General contraindications for compression therapies:

  • Severe peripheral arterial disease
  • Acute deep venous thrombosis
  • Cellulitis
  • Unstable cardiac failure

Other contraindications related to compression stockings [2]:

  • Allergy to stocking material
  • Local skin or soft-tissue condition, including recent skin graft, fragile “tissue paper” skin, gangrene, oozing dermatitis and severe cellulitis
  • Extreme deformity of the leg, or unusual leg shape or size preventing correct fit
  • Highly exuding VLU is not a contraindication per se, however stockings may need to be washed constantly due to frequent soiling.

Evidence and Recommendations

Please see “Venous ulcers”, section on ‘Compression’ for other recommendations regarding compression therapy, rationales and summary of evidence supporting the recommendations below:

  • 1B
    For VLU patients with no contraindications, we recommend compression over no compression therapy to promote wound healing (Grade 1B).
  • 2B
    Two-layer gradient compression stockings (HH) that deliver 40 mmHg pressure at the ankle can be considered an effective alternative to multi-component compression systems (4LB) to promote ulcer healing in patients with VLU (Grade 2B).
  • 2C
    To decrease risk of ulcer recurrence in patients with a healed VLU, we suggest compression therapy with gradient compression stockings at the highest pressure patients can tolerate (Grade 2C)

Risks and Complications

Most complications due to compression therapy are avoidable if appropriate measures to

mitigate risks are taken. Before application of compression, clinicians should ensure patient does not have any contraindications. If however, the patient is a good candidate and complications still arise, it is important that they be addressed promptly. Complications may include pain, pressure damage, loss of calf muscle and skin problems. Please see more details in “Compression Therapy for Venous Ulcer”, section ‘Risks and Complications’

FDA safety

The following FDA monitored databases do not currently display any findings related to Jobst® Opaque [3] [4] [5]:

  • Medical Device Recalls: no findings
  • MAUDE - Manufacturer and User Facility Device Experience: no findings
  • Post-market Surveillance Studies: no findings

Prescription

Ready-to-wear and over the counter compression garments do not require a prescription when paid out-of-pocket. However, retailers may choose to require a prescription to ensure the product fits the patient’s needs. Prescriptions are needed for Medicare coverage (when product is covered and requirements are met).

Prescriptions for graduated compression stockings need to indicate the type of stocking, length, compression level and number of units (frequency of use, expected duration of need are also needed for Medicare coverage). Measurements are needed for proper fitting (see measuring methods in “Gradient Compression Stockings”, section ‘How to: selection, measurement and application methods’). Stockings should be replaced at least every 3-6 months.

How to: measurement and application (donning) methods

For general information on measurement and application (donning) methods for gradient compression stockings, see “Gradient compression stockings”, section ‘How to: selection, measurement and application(donning) methods’.

The information below relates to Jobst® Opaque Knee-High [1]:

Size chart

Patient Adherence

Compression is only effective if applied constantly, daily. Clinicians should keep in mind the high prevalence of patient adherence issues, which has been reported to be 30%–65% [2].

Among reasons for low adherence to gradient compression stockings are difficulties in putting on and removing the garment, pain, discomfort, sensation of warmth and deterioration of pre-existing pruritus associated with venous eczema, cost and appearance [2] [6]. If problems arise, clinicians should ask their patients why the stockings are not being used. Many of these factors are easily solved by simply changing the stocking material, lowering the degree of compression or providing adequate information and reassurance to patients [2].

PATIENT EDUCATION FOR CLINICIANS

VLU are a chronic, long-term problem, with recurrence rates are as high as 70%. Therefore, long-term maintenance must be addressed even for healed ulcers [6]. See “Venous Ulcers”, section on ‘Patient Education’ for details on patient education for VLU healing, prevention of new VLU and prevention of recurrence.

We recommend sharing our patient education materials with VLU patients (for all materials, see Patient Education Materials).

Jobst Opaque Knee High Patient Education material:

  • Compression stockings: Jobst Opaque Knee High (handout)

Related Patient Education materials:

  • Basic principles of wound care (handout)
  • Chronic ulcers (handout)
  • Compression therapy (handout)
  • Gradient Compression Stockings for Patients
  • Debridement (handout)
  • Nutrition (handout)
  • Showering instructions (handout)
  • Smoking cessation (handout)
  • Ulcer infection (handout)

CODING, COVERAGE AND REIMBURSEMENT

Below is a summary of coding, coverage and reimbursement for Jobst® Opaque Knee-High with a focus on Medicare references here . For detailed information on coding, documentation, coverage and reimbursement of gradient compression stockings, see “Gradient Compression Stockings”, section ‘Coding, Coverage, Reimbursement’.

Product as supplied

HCPCS classification

HCPCS

Total allowable (ceiling/ floor)

Patient co-payment (ceiling/ floor)

Frequency of replacement

Jobst Opaque Knee-High, 15-20 mmHg, pair

Gradient compression stocking, below knee, 18-30 mmHg, each

A6530 *

not covered

Jobst Opaque Knee-High, 20-30 mmHg, pair

Gradient compression stocking, below knee, 18-30 mmHg, each

A6530 *

not covered

Jobst Opaque Knee-High, 30-40 mmHg, pair

Gradient compression stocking, below knee, 30-40 mmHg, each **

A6531 *

$48.16/ $40.94

9.63/ $8.19

1 unit per leg/ 6 months

* Use modifiers AW (bilateral), and RT/LT (right, left side). Since stockings come in pairs, bill the left and the right stocking on the same claim line using the RT/LT modifiers and 2 units of service

** Benefit covered under Medicare Part B (DMEPOS fee schedule). Not covered if billed in other care settings (home health, acute care, hospital based outpatient clinics, independent physician's office, nursing homes)

Total allowable, patient co-payment (in US$) relates to Medicare part B. Data extracted from the most current Medicare DMEPOS Fee Schedule (2017)  [7] [8]

ICD-10 that support medical necessity

  • I83.00-I83.02 Varicose veins of lower extremities with ulcer
  • I83.20-I83.22 Varicose veins of lower extremities with both ulcer and inflammation

Medicare Policies & Guidelines (NCDs, LCDs, Articles)

COST-EFFECTIVENESS

  • Gradient compression stockings to promote VLU healing
    • Literature is scarce in studies that analyze cost-effectiveness of gradient compression stockings in VLU healing.
  • Gradient compression stockings to prevent VLU
    •  In 2002, a Markov decision analysis model was used for analysis of the cost-effectiveness of a strategy of reimbursement for compression stockings and education (prophylaxis) versus one that does not supply these resources in a 55-year-old patient with prior venous stasis ulceration. Authors concluded that prophylactic compression stockings and education in patients with prior venous stasis ulceration are cost saving, even with the most conservative of assumptions. Insurers should routinely reimburse for these interventions  [11]

CMS QUALITY MEASURES

Below are measures that are directly related to Compression in VLU. For other measures related to VLU see “Venous Ulcers”, section ‘CMS Quality Measures’. For a comprehensive list of wound care related measures, see “Wound Care Quality Measures”.

MIPS currently does not have VLU-specific measures. Listed below are VLU/compression therapy-specific measures issued by the US Wound Registry.

QCDR

Title

Description

ID

Measure Type

US Wound Registry (USWR)

Adequate Compression at each visit for Patients with VLUs

Percentage of venous leg ulcer visits of patients aged 18 years and older that received adequate compression within the 12-month reporting period.

5

Process

MANUFACTURER

BSN medical Inc.
5825 Carnegie Blvd
Charlotte, NC 28209
Phone: 704-554-9933
BSN.Orders@BSNmedical.com


MANUFACTURER'S PART NUMBERS

The tables below show part numbers of Opaque Knee-High Closed Toe 15-20, 20-30 and 30-40 mmHg. Check manufacturer’s website for part numbers of other styles.

Opaque 15-20 mmHg Knee High Closed Toe

Size

Black

Honey

Espresso

Natural

Midnight Navy

Small

115200

115681

115685

115212

115752

Medium

115201

115682

115686

115213

115753

Large

115202

115683

115687

115214

115754

Extra Large

115203

115684

115688

115215

115755


Opaque 20-30 mmHg Closed Toe Knee High

Size

Black

Honey

Espresso

Natural

Midnight Navy

Small

115132

115456

115460

115270

115740

Medium

115133

115457

115461

115271

115741

Large

115134

115458

115462

115272

115742

Extra Large

115135

115459

115463

115273

115743


Opaque 30-40 mmHg Closed Toe Knee High

Size

Black

Natural

Honey

Espresso

Small

115168

115282

115701

115705

Medium

115169

115283

115702

115706

Large

115170

115284

115703

115707

Extra Large

115171

115285

115704

115708

Official reprint from WoundReference® woundreference.com ©2018 Wound Reference, Inc. All Rights Reserved

REFERENCES

  1. Centers for Medicare & Medicaid Services, et al. Durable Medical Equipment, Prosthetics/Orthotics, and Supplies Fee Schedule: DME fee schedule 2017-A: DME17-B . Date of publication 2017 Oct 7;volume ():.
  2. Centers for Medicare & Medicaid Services, et al. Durable Medical Equipment, Prosthetics/Orthotics, and Supplies Fee Schedule: DME fee schedule 2017-A . Date of publication 2017 Oct 7;volume ():.
  3. Jobst, et al. JOBST® Opaque - Jobst . Date of publication 2017 Oct 7;volume ():.
  4. Lim, Chung Sim; Davies, Alun H et al. Graduated compression stockings. Canadian Medical Association Journal. Date of publication 2017 Oct 7;volume 186(10):E391-8.
  5. FDA, et al. Medical Device Recalls . Date of publication 2017 Oct 7;volume ():.
  6. FDA, et al. MAUDE - Manufacturer and User Facility Device Experience . Date of publication 2017 Oct 7;volume ():.
  7. FDA, et al. 522 Postmarket Surveillance Studies . Date of publication 2017 Oct 7;volume ():.
  8. Wittens, C; Davies, A H; Bækgaard, N; Broholm, R; Cavezzi, A; Chastanet, S; de Wolf, M; Eggen, C; Giannoukas, A; Gohel, M; Kakkos, S; Lawson, J; Noppeney, T; Onida, S; Pittaluga, P; Thomis, ... et al. Editor's Choice - Management of Chronic Venous Disease: Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS). European Journal of Vascular and Endovascular.... Date of publication 2015 Jun 1;volume 49(6):678-737.
  9. Korn P, Patel ST, Heller JA, Deitch JS, Krishnasastry KV, Bush HL, Kent KC et al. Why insurers should reimburse for compression stockings in patients with chronic venous stasis. Journal of vascular surgery. Date of publication 2002 May 1;volume 35(5):950-7.
  10. Center for Medicare and Medicaid Services (CMS), et al. Local Coverage Determination for Surgical Dressings (L33831) . Date of publication 2017 Oct 7;volume ():.
  11. Centers for Medicare and Medicaid Services, et al. Local Coverage Article for Surgical Dressings - Policy Article (A54563) . Date of publication 2015 Oct 1;volume ():.