Coding: Browse HCPCS Level II 2020 Edition

Browse HCPCS Level II 2020 Edition

HCPCS Level II Table of Contents

A6501 - A6549 Compression Garments

A6501

Compression burn garment, bodysuit (head to foot), custom fabricated

short

Compres burngarment bodysuit

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	1.0	3 Date of Service Edit: Clinical	Nature of Equipment
DME	2.0	2 Date of Service Edit: Policy	Nature of Equipment

A6502

Compression burn garment, chin strap, custom fabricated

short

Compres burngarment chinstrp

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	1.0	3 Date of Service Edit: Clinical	Nature of Equipment
DME	2.0	2 Date of Service Edit: Policy	Nature of Equipment

A6503

Compression burn garment, facial hood, custom fabricated

short

Compres burngarment facehood

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	1.0	3 Date of Service Edit: Clinical	Nature of Equipment
DME	2.0	2 Date of Service Edit: Policy	Nature of Equipment

A6504

Compression burn garment, glove to wrist, custom fabricated

short

Cmprsburngarment glove-wrist

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	2.0	3 Date of Service Edit: Clinical	Nature of Equipment
DME	4.0	2 Date of Service Edit: Policy	Nature of Equipment

A6505

Compression burn garment, glove to elbow, custom fabricated

short

Cmprsburngarment glove-elbow

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	2.0	3 Date of Service Edit: Clinical	Nature of Equipment
DME	4.0	2 Date of Service Edit: Policy	Nature of Equipment

A6506

Compression burn garment, glove to axilla, custom fabricated

short

Cmprsburngrmnt glove-axilla

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	2.0	3 Date of Service Edit: Clinical	Nature of Equipment
DME	4.0	2 Date of Service Edit: Policy	Nature of Equipment

A6507

Compression burn garment, foot to knee length, custom fabricated

short

Cmprs burngarment foot-knee

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	2.0	3 Date of Service Edit: Clinical	Nature of Equipment
DME	4.0	2 Date of Service Edit: Policy	Nature of Equipment

A6508

Compression burn garment, foot to thigh length, custom fabricated

short

Cmprs burngarment foot-thigh

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	2.0	3 Date of Service Edit: Clinical	Nature of Equipment
DME	4.0	2 Date of Service Edit: Policy	Nature of Equipment

A6509

Compression burn garment, upper trunk to waist including arm openings (vest), custom fabricated

short

Compres burn garment jacket

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	1.0	3 Date of Service Edit: Clinical	Nature of Equipment
DME	2.0	2 Date of Service Edit: Policy	Nature of Equipment

A6510

Compression burn garment, trunk, including arms down to leg openings (leotard), custom fabricated

short

Compres burn garment leotard

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	1.0	3 Date of Service Edit: Clinical	Nature of Equipment
DME	2.0	2 Date of Service Edit: Policy	Nature of Equipment

A6511

Compression burn garment, lower trunk including leg openings (panty), custom fabricated

short

Compres burn garment panty

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	1.0	3 Date of Service Edit: Clinical	Nature of Equipment
DME	2.0	2 Date of Service Edit: Policy	Nature of Equipment

A6512

Compression burn garment, not otherwise classified

short

Compres burn garment, noc

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

A6513

Compression burn mask, face and/or neck, plastic or equal, custom fabricated

short

Compress burn mask face/neck

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	1.0	3 Date of Service Edit: Clinical	Nature of Equipment
DME	2.0	2 Date of Service Edit: Policy	Nature of Equipment

A6530

Gradient compression stocking, below knee, 18-30 mmhg, each

short

Compression stocking bk18-30

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Ajudication Indicator	Rationale
PRA	3 Date of Service Edit: Clinical	CMS Policy
OPH	3 Date of Service Edit: Clinical	CMS Policy
DME	3 Date of Service Edit: Clinical	CMS Policy

A6531

Gradient compression stocking, below knee, 30-40 mmhg, each

short

Compression stocking bk30-40

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	2.0	3 Date of Service Edit: Clinical	Nature of Equipment
DME	4.0	3 Date of Service Edit: Clinical	Clinical: Data

A6532

Gradient compression stocking, below knee, 40-50 mmhg, each

short

Compression stocking bk40-50

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	2.0	3 Date of Service Edit: Clinical	Nature of Equipment
DME	4.0	3 Date of Service Edit: Clinical	Clinical: Data

A6533

Gradient compression stocking, thigh length, 18-30 mmhg, each

short

Gc stocking thighlngth 18-30

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Ajudication Indicator	Rationale
PRA	3 Date of Service Edit: Clinical	CMS Policy
OPH	3 Date of Service Edit: Clinical	CMS Policy
DME	3 Date of Service Edit: Clinical	CMS Policy

A6534

Gradient compression stocking, thigh length, 30-40 mmhg, each

short

Gc stocking thighlngth 30-40

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Ajudication Indicator	Rationale
PRA	3 Date of Service Edit: Clinical	CMS Policy
OPH	3 Date of Service Edit: Clinical	CMS Policy
DME	3 Date of Service Edit: Clinical	CMS Policy

A6535

Gradient compression stocking, thigh length, 40-50 mmhg, each

short

Gc stocking thighlngth 40-50

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Ajudication Indicator	Rationale
PRA	3 Date of Service Edit: Clinical	CMS Policy
OPH	3 Date of Service Edit: Clinical	CMS Policy
DME	3 Date of Service Edit: Clinical	CMS Policy

A6536

Gradient compression stocking, full length/chap style, 18-30 mmhg, each

short

Gc stocking full lngth 18-30

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Ajudication Indicator	Rationale
PRA	3 Date of Service Edit: Clinical	CMS Policy
OPH	3 Date of Service Edit: Clinical	CMS Policy
DME	3 Date of Service Edit: Clinical	CMS Policy

A6537

Gradient compression stocking, full length/chap style, 30-40 mmhg, each

short

Gc stocking full lngth 30-40

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Ajudication Indicator	Rationale
PRA	3 Date of Service Edit: Clinical	CMS Policy
OPH	3 Date of Service Edit: Clinical	CMS Policy
DME	3 Date of Service Edit: Clinical	CMS Policy

A6538

Gradient compression stocking, full length/chap style, 40-50 mmhg, each

short

Gc stocking full lngth 40-50

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Ajudication Indicator	Rationale
PRA	3 Date of Service Edit: Clinical	CMS Policy
OPH	3 Date of Service Edit: Clinical	CMS Policy
DME	3 Date of Service Edit: Clinical	CMS Policy

A6539

Gradient compression stocking, waist length, 18-30 mmhg, each

short

Gc stocking waistlngth 18-30

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Ajudication Indicator	Rationale
PRA	3 Date of Service Edit: Clinical	CMS Policy
OPH	3 Date of Service Edit: Clinical	CMS Policy
DME	3 Date of Service Edit: Clinical	CMS Policy

A6540

Gradient compression stocking, waist length, 30-40 mmhg, each

short

Gc stocking waistlngth 30-40

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Ajudication Indicator	Rationale
PRA	3 Date of Service Edit: Clinical	CMS Policy
OPH	3 Date of Service Edit: Clinical	CMS Policy
DME	3 Date of Service Edit: Clinical	CMS Policy

A6541

Gradient compression stocking, waist length, 40-50 mmhg, each

short

Gc stocking waistlngth 40-50

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Ajudication Indicator	Rationale
PRA	3 Date of Service Edit: Clinical	CMS Policy
OPH	3 Date of Service Edit: Clinical	CMS Policy
DME	3 Date of Service Edit: Clinical	CMS Policy

A6544

Gradient compression stocking, garter belt

short

Gc stocking garter belt

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Ajudication Indicator	Rationale
PRA	3 Date of Service Edit: Clinical	CMS Policy
OPH	3 Date of Service Edit: Clinical	CMS Policy
DME	3 Date of Service Edit: Clinical	CMS Policy

A6545

Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each

short

Grad comp non-elastic bk

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	0.0	3 Date of Service Edit: Clinical	CMS Policy
OPH	2.0	3 Date of Service Edit: Clinical	Nature of Equipment
DME	2.0	3 Date of Service Edit: Clinical	Clinical: Data

A6549

Gradient compression stocking/sleeve, not otherwise specified

short

G compression stocking

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.0	0.0	0.0	0.0	0.0	XXX

MUE

Location	Ajudication Indicator	Rationale
PRA	3 Date of Service Edit: Clinical	CMS Policy
OPH	3 Date of Service Edit: Clinical	CMS Policy
DME	3 Date of Service Edit: Clinical	CMS Policy