A6513 — Compression burn mask, face and/or neck, plastic or equal, custom fabricated
A6513 is a HCPCS Level II code for compression burn mask, face and/or neck, plastic or equal, custom fabricated. It belongs to the Transportation, Medical & Surgical Supplies, Administrative section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusX
Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
Medically Unlikely Edits — units per day
The most units of A6513 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- outpatient
- 1 unit MAI 3 — Date of Service Edit: Clinical · Nature of Equipment
- DME supplier
- 2 units MAI 3 — Date of Service Edit: Clinical · Nature of Equipment
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for A6513
- Long descriptor
- Compression burn mask, face and/or neck, plastic or equal, custom fabricated
- Short descriptor
- Compress burn mask face/neck
- Added
- January 1, 2006
- BETOS
- D1A
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to A6513
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If A6513 is not quite right, the correct code is very often within a few positions of it.
- A6505Compression burn garment, glove to elbow, custom fabricated
- A6506Compression burn garment, glove to axilla, custom fabricated
- A6507Compression burn garment, foot to knee length, custom fabricated
- A6508Compression burn garment, foot to thigh length, custom fabricated
- A6509Compression burn garment, upper trunk to waist including arm openings (vest), custom fabricated
- A6510Compression burn garment, trunk, including arms down to leg openings (leotard), custom fabricated
- A6511Compression burn garment, lower trunk including leg openings (panty), custom fabricated
- A6512Compression burn garment, not otherwise classified
- A6515Gradient compression wrap with adjustable straps, full leg, each, custom
- A6516Gradient compression wrap with adjustable straps, foot, each, custom
- A6517Gradient compression wrap with adjustable straps, below knee, each, custom
- A6518Gradient compression wrap with adjustable straps, arm, each, custom
- A6519Gradient compression garment, not otherwise specified, for nighttime use, each
- A6520Gradient compression garment, glove, padded, for nighttime use, each
- A6521Gradient compression garment, glove, padded, for nighttime use, custom, each
- A6522Gradient compression garment, arm, padded, for nighttime use, each
Questions about A6513
What is HCPCS code A6513?
A6513 is a HCPCS Level II code for compression burn mask, face and/or neck, plastic or equal, custom fabricated. It sits in the Transportation, Medical & Surgical Supplies, Administrative section.
Does Medicare cover A6513?
The CMS HCPCS file marks A6513 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
How is A6513 paid under the physician fee schedule?
A6513 carries PFS status code X. Statutory exclusion. The item or service is not within the statutory definition of 'physician services', so the fee schedule never pays it.