Summary & Overview
HCPCS Level II A9282: Wig, Any Type, Each
HCPCS Level II code A9282 denotes the supply of a wig, any type, provided as a single item. This code matters nationally because wigs can be a medically necessary prosthetic accessory for patients experiencing hair loss due to medical treatment or conditions, and coverage policies, billing practices, and benefit structures vary across major payers. Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will learn how the code is defined and classified, which payers commonly address coverage for wigs, and what to expect in terms of billing context and service settings. The publication summarizes national benchmarks where available, highlights common documentation and coding considerations, and outlines policy trends that affect coverage determinations. It also identifies gaps in publicly available data and notes where payers differ in prior authorization, medical necessity criteria, and benefit limits. The content is intended for billing managers, coding auditors, and policy analysts seeking a concise reference on use and payer approaches for A9282.
Billing Code Overview
HCPCS Level II code A9282 describes Wig, any type, each. This code covers the supply of a wig intended for individual use. Service type: Durable medical supply / prosthetic accessory. Typical site of service: Retail medical supply outlets, durable medical equipment providers, outpatient clinics, or beneficiary residence when delivered.
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Clinical & Coding Specifications
Clinical Context
A 48-year-old patient undergoing chemotherapy for breast cancer experiences chemotherapy-induced alopecia and requests a medically necessary wig to support psychosocial wellbeing and occupational needs. The patient presents to an oncology clinic or a durable medical equipment supplier contracted with the oncology practice. After a clinical assessment confirming hair loss related to systemic chemotherapy, the provider documents medical necessity and issues a prescription or written order for a wig (A9282). The supplier measures for fit, selects wig type per patient preference and clinical need, dispenses the wig, and submits the HCPCS Level II code A9282 with the ordering provider’s information and the appropriate diagnosis code for the underlying condition. Typical sites of service include ambulatory oncology clinics, hospital outpatient departments, and contracted medical supply or wig specialty vendors. The workflow includes: patient assessment and documentation of hair loss cause, written order for wig, supplier fitting and dispensing, and claim submission with applicable modifiers and diagnosis pointers.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased procedural services | Use if extraordinary work is documented for custom fitting or extensive additional services beyond typical dispensing. |