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    v1.0.31
    OpenPayerBilling CodesMedical And Surgical SuppliesHCPCS hcpcs-a6501-compression-bodysuit-custom-fabricated
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    HCPCS Level II A6501: Compression Burn Garment Bodysuit, Custom Fabricated

    HCPCS Level II code A6501 describes a custom-fabricated compression burn garment bodysuit that covers the body from head to foot; the service is durable medical equipment for compression therapy to support scar management and healing after burns, typically provided by a prosthetics/orthotics or DME supplier and used in outpatient clinic or home settings for ongoing wearable compression therapy.

    For related coverage guidance, see recent payer policy updates: Diabetic Supplies, Radiofrequency Ablation for Thyroid Nodules, Continuous Glucose Monitoring and Insulin Delivery for Managing Diabetes (for Idaho Only).

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    Table of contents

    Progress1 / 7

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    Clinical & Coding Specifications

    Clinical Context

    A patient with extensive hypertrophic scarring and contractures following full-thickness burns is fitted for a custom-fabricated compression burn bodysuit (A6501). The typical patient is seen in an outpatient burn specialty clinic or a prosthetics/orthotics or durable medical equipment (DME) facility after initial wound healing and scar maturation (commonly 2–6 months post-injury). The clinical workflow includes: the burn surgeon or burn clinic physical therapist documents the indication for pressure therapy, performs measurements or refers to a certified prosthetist/orthotist for custom fabrication; the DME supplier schedules measurements and fabrication; the patient returns for fitting, education on wear schedule and skin care, and serial follow-up to adjust fit as scar tissue remodels. Typical settings are outpatient burn clinic, specialty DME/prosthetics shop, or physical/occupational therapy clinics supporting burn rehabilitation. Common interactions include prior authorization submission to the patient’s insurer (Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, BUCA, Medicare), clinical notes documenting scar severity, and periodic re-evaluation for refitting as the patient grows or scars change.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    99199Unlisted special service, procedure or reportMay be used for unique billing events related to custom device fabrication documentation when no specific code exists.
    97602Non-selective debridement, without anesthesia (e.g., enzymatic, topical)Performed earlier in the care pathway for wound bed preparation prior to scar maturation and garment fitting.
    97035Ultrasound therapy, each 15 minutesAdjunctive therapy used in scar modulation programs around the time of compression therapy.
    97110Therapeutic exercises to develop strength, endurance, range of motionUsed in rehabilitation visits that accompany compression garment use to address contractures.
    99070Supplies and materials provided by the physician over and above those usually includedUsed when additional custom materials or modifications are billed by the provider in conjunction with the garment.

    Related Modifiers

    6 rows

    ModifierDescriptionWhen to Use
    22Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
    62Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
    80CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…
    82Modifier 82 is appended to a surgical CPT code to indicate that an attending physician acted as an assistant because a qualified resident surgeon was unavailable. In teaching hospitals it documents…- When to use: Append modifier 82 in teaching-hospital settings to indicate a physician served as an assistant surgeon because a qualified resident surgeon was unavailable (includes situations where…

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    174400000X
    2471B0102X
    207VX0201X
    2080A0000X
    1835C0205X
    1223G0001X
    163WX1500X
    261QC0050X

    Related ICD-10-CM Codes

    14 rows

    ICD-10-CM CodeDescription
    L51.0Nonbullous erythema multiforme
    L51.2Toxic epidermal necrolysis [Lyell]
    L90.5Scar conditions and fibrosis of skin
    L90.8Other atrophic disorders of skin
    L90.9Atrophic disorder of skin, unspecified
    L91.0Hypertrophic scar
    L97.401Non-pressure chronic ulcer of unspecified heel and midfoot limited to breakdown of skin
    L97.411Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin
    M79.2Neuralgia and neuritis, unspecified
    Q79.0Congenital diaphragmatic hernia

    Showing 1–10 of 14

    Related Payer Policy Updates

    Specialty: Endocrinology1 / 3

    10 rows

    PolicyPayerEffective Date
    Diabetic SuppliesCigna2026-10-15
    Radiofrequency Ablation for Thyroid NodulesCigna2026-10-15
    Continuous Glucose Monitoring and Insulin Delivery for Managing Diabetes (for Idaho Only)UnitedHealthcare2026-10-01
    Continuous Glucose Monitoring and Insulin Delivery for Managing Diabetes (for Indiana Only)UnitedHealthcare2026-10-01
    Tzield (teplizumab-mzwv) CoverageUnitedHealthcare2026-10-01
    Medical Necessity Guidelines Insulin PumpsMass General Brigham Health Plan2026-10-01
    Medical Necessity Guidelines: Continuous Glucose MonitorsMass General Brigham Health Plan2026-10-01
    Continuous Glucose MonitoringAmbetter Nevada2026-10-01
    Salivary Hormone TestingOscar Health2026-10-01
    Bone Turnover Markers TestingOscar Health2026-10-01

    Related Codes

    HCPCS-A4206-STERILE-SYRINGE-1CC-NEEDLE

    HCPCS A4206: Syringe with Needle, 1 cc or Less, Sterile

    HCPCS-A4207-STERILE-2CC-SYRINGE-WITH-NEEDLE

    HCPCS Level II A4207: Syringe with Needle, Sterile 2 cc

    HCPCS-A4208-STERILE-3CC-SYRINGE-WITH-NEEDLE

    HCPCS Level II A4208: Syringe with Needle, Sterile 3 cc

    HCPCS-A4209-STERILE-SYRINGE-WITH-NEEDLE-5CC-OR-GREATER

    HCPCS Level II A4209: Syringe with Needle, Sterile 5 cc or Greater

    HCPCS-A4210-NEEDLE-FREE-INJECTION-DEVICE

    HCPCS Level II A4210: Needle-free Injection Device, Each

    HCPCS-A4211-SUPPLIES-SELF-ADMINISTERED-INJECTIONS

    HCPCS Level II A4211: Supplies for Self-Administered Injections

    HCPCS-A4212-NON-CORING-NEEDLE-STYLET-CATHETER-ACCESS-SUPPLY

    HCPCS Level II A4212: Non-coring Needle or Stylet with/without Catheter

    HCPCS-A4213-STERILE-SYRINGE-20CC-OR-GREATER

    HCPCS Level II A4213: Syringe, Sterile, 20 cc or Greater, Each

    HCPCS-A4215-STERILE-NEEDLE-SINGLE-EACH

    HCPCS Level II A4215: Needle, Sterile, Any Size

    HCPCS-A4216-STERILE-DILUENT-FLUSH-10ML

    HCPCS Level II A4216: Sterile Diluent/Flush, 10 ml

    Showing 1–10 of 633

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    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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