A6513 HCPCS code: Compression burn mask, face and/or neck, plastic or equal, custom fabricated
A6513 is the HCPCS Level II code for compression burn mask, face and/or neck, plastic or equal, custom fabricated. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 2 per day on DME suppliers.
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | D1A — Medical/surgical supplies |
| Added | 2006-01-01 |
| Last action effective | 2006-01-01 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Nature of Equipment |
| outpatient hospital claims | 1 | Nature of Equipment |
Medicare policy articles for this code
- A54563: Surgical Dressings - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
What changed for A6513
- 2006-01-01: A6513 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code A6513?
A6513 is the HCPCS Level II code for compression burn mask, face and/or neck, plastic or equal, custom fabricated. Short descriptor: "Compress burn mask face/neck".
Does Medicare cover A6513?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of A6513 can be billed per day?
2 on DME suppliers; 1 on outpatient hospital claims (NCCI medically unlikely edits).
Related A65 codes
- A6501 — Compression burn garment, bodysuit (head to foot), custom fabricated
- A6502 — Compression burn garment, chin strap, custom fabricated
- A6503 — Compression burn garment, facial hood, custom fabricated
- A6504 — Compression burn garment, glove to wrist, custom fabricated
- A6505 — Compression burn garment, glove to elbow, custom fabricated
- A6506 — Compression burn garment, glove to axilla, custom fabricated
- A6507 — Compression burn garment, foot to knee length, custom fabricated
- A6508 — Compression burn garment, foot to thigh length, custom fabricated
- A6509 — Compression burn garment, upper trunk to waist including arm openings (vest), custom fabricated
- A6510 — Compression burn garment, trunk, including arms down to leg openings (leotard), custom fabricated
- A6511 — Compression burn garment, lower trunk including leg openings (panty), custom fabricated
- A6512 — Compression burn garment, not otherwise classified
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Next steps
- Run a reimbursement report for a device billed under A6513
- Watch A6513 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A6513
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.