Summary & Overview
HCPCS A6504: Compression Burn Glove, Custom-Fabricated
Headline: HCPCS Level II code A6504 covers custom-fabricated compression gloves for burn care
Lead: HCPCS Level II code A6504 identifies a custom-fabricated compression glove extending to the wrist used in burn management to control edema and support scar maturation. Custom compression garments are a critical component of post-burn rehabilitation and reconstructive care, with implications for durable medical equipment coverage, supplier credentialing, and clinical outcomes.
What this code represents and why it matters: The code denotes a specialized, patient-specific device manufactured to fit individual anatomy. Nationally, access to and coverage of custom compression garments affects rehabilitation timelines, scar management protocols, and downstream healthcare utilization for burn survivors.
Key payers covered: The analysis includes coverage and reimbursement context for major national payers: Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
What readers will learn: The publication provides benchmarks and policy context for billing and coverage of custom compression burn gloves, summarizes clinical indications and typical service settings, and highlights coding considerations relevant to suppliers and facility billing. It also outlines where data is not available in the input when applicable.
Data availability: Data not available in the input for associated taxonomies, specific ICD-10 diagnoses, related codes, and detailed payer-specific reimbursement rates.
Billing Code Overview
HCPCS Level II code A6504 describes a compression burn garment, glove to wrist, custom fabricated. This code represents a custom-made compression glove intended to provide therapeutic compression for burn management, scar modulation, and edema control following burn injuries or reconstructive procedures.
Service type: Custom-fabricated compression garment
Typical site of service: Outpatient durable medical equipment or specialty prosthetics/orthotics clinic
Clinical & Coding Specifications
Clinical Context
A patient with deep partial-thickness or full-thickness burns to the hand and wrist following a thermal injury is evaluated in a burn clinic or outpatient prosthetics/orthotics shop for pressure therapy to minimize hypertrophic scarring and improve functional outcomes. After initial wound closure by surgical grafting or secondary intention and when wounds are epithelialized and stable, a custom-fabricated compression burn glove to the wrist is ordered to provide circumferential graduated compression, maintain graft contour, reduce edema, and limit scar hypertrophy. The clinical workflow includes: wound assessment and documentation of healed graft or epithelialized tissue, measurement of the hand and wrist by an orthotist or certified prosthetist-orthotist, fabrication of a custom compression garment (glove to wrist) from appropriate compression materials, fitting and adjustment in the clinic, patient education on wear schedule and skin care, and periodic follow-up visits to assess fit and scar maturation, with replacement garments ordered as clinically indicated.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
LT | Left side | Use when the custom compression glove is for the left hand/wrist. |
RT | Right side |