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    OpenPayerBilling CodesMedical And Surgical SuppliesHCPCS hcpcs-a6505-compression-burn-garment-glove-to-elbow-custom-fabricated
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    HCPCS Level II A6505: Compression Burn Glove to Elbow, Custom Fabricated

    HCPCS Level II code A6505 describes a custom-fabricated compression burn garment in the form of a glove extending to the elbow used for management of burn and scar compression therapy; service type: custom-fabricated compression garment provision; typical site of service: outpatient burn clinic, durable medical equipment provider, or specialty prosthetics/orthotics facility where custom garments are fitted and dispensed.

    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

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    Clinical & Coding Specifications

    Clinical Context

    A 38-year-old patient with deep partial- and full-thickness thermal burns to the dorsal and palmar surfaces of the hand and forearm presents for post-acute rehabilitative care. After initial wound closure, grafting where indicated, and scar maturation over several weeks, the burn reconstruction team orders a custom-fabricated compression burn glove extending to the elbow to control hypertrophic scarring, reduce edema, and support ROM during rehabilitation. The orthotics vendor measures the hand and forearm in clinic; a certified prosthetist/orthotist or occupational therapist documents the need, fit checks, and training. The device is fabricated to patient-specific contours and delivered at a follow-up visit where fit, pressure distribution, and wear schedule are reviewed. Typical payors involved include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, BUCA, and Medicare. Typical sites of service are outpatient burn clinic, outpatient prosthetics/orthotics clinic, or a rehabilitation clinic; fabrication and fitting occur in clinic or a specialty DME supplier facility.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    97760Orthotic(s) management and training, initial encounter; subsequent encountersUsed for professional services to train the patient in donning/doffing, wear schedule, and skin care for the custom compression glove.
    99070Supplies and materials (except spectacles), provided by the physician over and above those usually included with the office visitBilled when nonstandard supplies related to fitting or customization are provided by the clinic and allowable by payer.
    95360Application of custom-fabricated pressure garment, initial fitting and adjustmentUsed for the initial fitting and adjustment visit when documented; note that payers vary on exact CPT usage for custom compression garments.
    99000Handling and/or conveyance of specimen for transfer from the physician's office to a laboratoryNot typically related; included only if relevant specimen handling occurs in coordinated care (rare).

    Related Modifiers

    5 rows

    ModifierDescriptionWhen to Use
    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…
    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…
    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…
    50Modifier –50 (Bilateral Procedure) is appended to a CPT code when an identical procedure is performed on paired anatomical structures during the same operative session. The AMA states to add…- Use modifier -50 when the same CPT surgical, diagnostic, or radiology procedure is performed on paired anatomical structures (both sides of the body) during the same operative/session by the same…

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    231H00000X
    207L00000X
    207P00000X
    2084P0800X
    163WH1000X
    363LA2100X
    364SG0600X
    111N00000X

    Related ICD-10-CM Codes

    26 rows

    ICD-10-CM CodeDescription
    E10.52Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene
    E11.52Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene
    G62.9Polyneuropathy, unspecified
    G90.9Disorder of the autonomic nervous system, unspecified
    I80.201Phlebitis and thrombophlebitis of unspecified deep vessels of right lower extremity
    I80.202Phlebitis and thrombophlebitis of unspecified deep vessels of left lower extremity
    I80.203Phlebitis and thrombophlebitis of unspecified deep vessels of lower extremities, bilateral
    I83.013Varicose veins of right lower extremity with ulcer of ankle
    I83.019Varicose veins of right lower extremity with ulcer of unspecified site
    I87.2Venous insufficiency (chronic) (peripheral)

    Showing 1–10 of 26

    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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