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    v1.0.31
    OpenPayerBilling CodesMedical And Surgical SuppliesHCPCS hcpcs-a6529-gradient-compression-nighttime-bra-custom
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    HCPCS Level II A6529: Gradient Compression Bra, Nighttime, Custom

    HCPCS Level II code A6529 describes a custom nighttime gradient compression garment in the form of a bra, intended as a durable orthotic/therapeutic device for managing lymphedema or post-surgical edema; the service involves provision and fitting of a custom compression bra for nighttime use and the typical site of service is outpatient durable medical equipment or specialty prosthetic/orthotic clinics.

    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 patient who has undergone breast surgery (for example, mastectomy with immediate reconstruction or lumpectomy with oncoplastic repair) is evaluated in the outpatient surgical clinic within 1–2 weeks postoperatively for management of postoperative edema and to protect reconstructed or healing breast tissues overnight. The clinician prescribes a custom nighttime gradient compression bra to be measured and fabricated by a certified orthotist or compression garment supplier. The typical workflow: the surgeon documents the medical necessity and orders a custom nighttime compression bra using billing code A6529; the patient is referred to a certified fitter for measurements; the supplier captures measurements, documents the prescription and diagnosis, fabricates the custom bra, fits the patient at delivery, and communicates fitting notes back to the surgeon. Typical site of service is an outpatient durable medical equipment (DME) supplier, outpatient clinic, or outpatient surgical center when provided at discharge. The device is intended for nighttime use to provide gradient compression to control postoperative edema, support tissues, reduce seroma formation risk, and improve comfort during sleep.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    19301Mastectomy, partial (e.g., lumpectomy, tylectomy)Surgical procedure after which a custom nighttime compression bra may be prescribed to control edema and support healing.
    19342Immediate insertion of breast prosthesis following mastopexy or mastectomy, including tissue expander exchangeReconstruction procedures that commonly lead to prescription of custom postoperative compression garments.
    15734Muscle, myocutaneous, or fasciocutaneous flap with microvascular anastomosis (breast reconstruction)Major reconstructive procedures where custom supportive garments are used during recovery.
    97140Manual therapy techniques (e.g., mobilization)Physical therapy service for postoperative soft tissue mobilization and lymphedema management coordinated with garment use.
    97162Physical therapy evaluation, moderate complexityEvaluation that may document need for compression therapy and guide custom garment prescription.
    99070Supplies and materials (e.g., DME) provided by the physician over and above those usually included with the office visitUsed when additional supplies or special fittings related to the custom garment are provided in the clinical setting.

    Related Modifiers

    6 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…
    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…
    78CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
    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
    207L00000X
    193200000X
    207K00000X
    261QP2300X
    176P00000X
    207ZC0006X
    1835G0303X
    146E00000X

    Related ICD-10-CM Codes

    25 rows

    ICD-10-CM CodeDescription
    C50.911Malignant neoplasm of unspecified site of right female breast
    C50.912Malignant neoplasm of unspecified site of left female breast
    E11.51Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
    E11.621Type 2 diabetes mellitus with foot ulcer
    I83.10Varicose veins of unspecified lower extremity with inflammation
    I83.219Varicose veins of right lower extremity with both ulcer of unspecified site and inflammation
    I83.813Varicose veins of bilateral lower extremities with pain
    I87.2Venous insufficiency (chronic) (peripheral)
    L97.119Non-pressure chronic ulcer of right thigh with unspecified severity
    L97.224Non-pressure chronic ulcer of left calf with necrosis of bone

    Showing 1–10 of 25

    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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