CommercialBilling CodesMedium impact
Garments
Blue Cross & Blue Shield of Mississippi·MS · Plastic Surgery, Wound Care, General Surgery +2 more·Medical Policy
Effective date
Apr 1, 2025
We identified it
Jun 20, 2026
Summary
BCBS Mississippi updated their Garments policy (L.1.04.400) with new HCPCS codes effective April 1, 2025, and April 1, 2026. The policy covers burn garments, compression stockings, and prosthetic garments with specific medical necessity criteria and quantity limits.
Action Required
By April 1, 2025: Billing team must update billing system to include new HCPCS codes A6515, A6516, A6517, A6518, A6519, and A6611 for gradient compression garments. Verify medical necessity documentation requirements are met: burn garments require physician prescription for 3rd degree burns, deep 2nd degree burns, or skin grafts; compression stockings require at least 25mm Hg pressure and specific conditions like lymphedema or venous insufficiency. Note quantity limits: 4 pairs compression stockings per 12 months, 7 prosthetic sheaths/socks per year.