`A6512` Compres burn garment, noc

Compression burn garment, not otherwise classified

Medicare coverage: Special coverage instructions apply
Status: active (October 2026 file)

Medicare pricing for A6512

Physician Fee Schedule (CY 2026, RVU26D)

Status X: statutory exclusion, not paid under the PFS.

Payer policies and prior authorization for A6512

2 of 2 payer prior-auth lists that name A6512 require prior authorization or set conditions: Humana.

Payer	Plan	State	Prior auth	Conditions	Since	Source
Humana	Humana Healthy Horizons	SC	prior auth required		Jan 1, 2027	Humana Healthy Horizons in South Carolina Prior authorization and Notification List The following list describes services and medications that are commonly reviewed and may require additional clinical
Humana	Oak Street Health	All	prior auth required			Oak Street Health (Humana): Prior Authorization List (PAL) Codes Under Management

Payer coverage policies that name A6512

A6512 appears in 4 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island.

Payer	Policy	Role in policy	Reviewed	Document
Aetna	Burn Garments (0062)	covered if criteria are met	Jan 15, 2026	payer document
Aetna	Carbon Dioxide Laser (0427)	listed, no stance (range A6501-A6549)	Jul 8, 2026	payer document
Blue Cross & Blue Shield of Mississippi	Garments (L.1.04.400)	covered if criteria are met		payer document
Blue Cross & Blue Shield of Rhode Island	Compression Garments_Stockings	covered if criteria are met	Apr 1, 2026	payer document

Recent prior-auth changes

Jan 1, 2026: PA removed, Humana

Medicaid fee-for-service

Prior authorization required or conditional in CO, IL, KY, MA, MD, NY, OH, VA, VT, WA, WV.

MD: $27.13 (dme), effective Apr 1, 2026
TX: $0.00 (dmepos_tos_9_e_j_l_and_r, Home Health Dme, non-facility), effective May 1, 2003
VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.

A6512 Compres burn garment, noc