Pharm

Compression stockings

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Compression stockings, Elastic support garment, Jobst Stockings

  • Contraindications
  1. Significant Peripheral Arterial Disease (Ankle brachial index <0.8)
  • Technique
  1. Pressure should increase distally from knee to ankle
  2. Wear stockings throughout day (remove at night)
  3. Avoid OTC low pressure stockings for DVT Prevention
  4. Calf length stockings as effective as thigh length
  5. Non-custom stockings as effective as Custom stockings
  • Preparations
  1. Anti-embolism stockings (e.g. TED stockings)
    1. Pressure: 8-10 mmHg
  2. Elasticized tubular gauze (e.g. Tubigrip)
    1. Pressure: 15-20 mmHg
    2. Indications
      1. Older patients with Venous Insufficiency
  3. Single layer elastic wrap (e.g. ACE Wrap)
    1. Pressure: 20 mmHg
  4. Compression stockings (e.g. Jobst, Juzo)
    1. Pressure: 30-40 mmHg
    2. Indications
      1. Severe Venous Insufficiency or Lymphedema
    3. Custom Jobst Stockings
      1. Based on circumference at every 1.5 inches up leg
      2. Indications
        1. Large calf with narrow ankle (risk of Tourniquet)
        2. Lipodermatosclerosis
  5. Multi-layer compression Wraps (e.g. Dynaflex)
    1. Pressure: 30-40 mmHg
    2. Indications
      1. Severe Venous Insufficiency or Lymphedema
  • Coding
  1. HCPCS: L8100