Burn Garments

Aetna covers burn garments and associated physical/occupational therapy (and the related HCPCS garment codes with applicable burn ICD‑10 codes) only when the burn is documented to place the member at risk of post‑burn contracture, the garments/therapy are intended to prevent the need for skin grafting or contractures from hypertrophic scarring, and the garment is authorized by the PCP or treating specialist. Support garments for donor‑site scar minimization and topical silicone gel as an adjunct to pressure garment therapy are considered experimental/investigational (HCPCS A6025 not covered), and inflatable compression garments are treated as DME with coverage subject to the member’s DME benefits.

"HCPCS codes for compression garments (A6501-A6513) are covered only if the selection criteria (medical necessity criteria) are met."

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