Name of the Procedure:

Compression Burn Garment, Glove to Elbow, Custom Fabricated
(HCPCS Code: A6505)

Summary

A custom-fabricated compression burn garment designed to fit from the wrist to the elbow. This specialized medical glove helps manage and heal burn injuries by providing consistent, therapeutic pressure to reduce swelling, improve blood circulation, and minimize the formation of scar tissue.

Purpose

The compression burn garment primarily addresses the healing of burn injuries on the arm and forearm. The goals are to:

• Reduce swelling and edema.
• Improve blood circulation.
• Minimize the formation of hypertrophic scars.
• Enhance the overall healing process of burn wounds.

Indications

• Presence of second or third-degree burns on the arm or forearm.
• Edema or swelling in the affected area.
• Hypertrophic or keloid scar development.
• Post-surgical recovery where burn injuries have been treated.

Preparation

• The patient might undergo a fitting session to measure for a custom fit.
• Assessment of the burn area to determine the appropriateness of the compression garment.
• Patients should keep the affected area clean and dry prior to fitting.

Procedure Description

1. Measurement and Custom Fabrication: Precise measurements are taken of the patient’s arm from wrist to elbow.
2. Design and Manufacturing: These measurements are used to custom-fabricate a glove that fits snugly and provides even compression across the burn area.
3. Fitting Session: The fitted glove is tried on, and adjustments are made to ensure optimal compression and comfort.
4. Patients are instructed on how to wear and care for the garment to ensure its longevity and effectiveness.

Duration

The measurement and fitting session typically takes around 1-2 hours. Custom fabrication can take a few days to a week.

Setting

• Measurement and fitting are usually performed in a clinic or specialized medical setting.
• Patients can wear the compression garment at home, as part of their routine care.

Personnel

• Certified Medical Practitioners: To assess and measure the burn area.
• Specialized Technicians: To fabricate the custom glove.
• Nurses: To assist with the fitting session and provide patient education.

Risks and Complications

• Skin irritation or discomfort if the garment is not fitted properly.
• Compression that is too tight may restrict blood flow.
• Possible allergic reactions to the materials used in the garment.

Benefits

• Reduced swelling and improved healing of the burn area.
• Prevention of scar tissue build-up, leading to better cosmetic outcomes.
• Increased comfort and mobility through better-managed symptoms.

Recovery

• Patients should follow the wearing schedule as advised by their healthcare provider.
• Regular cleaning of the compression garment to maintain hygiene and effectiveness.
• Follow-up appointments to monitor healing and adjust the garment if necessary.

Alternatives

• Non-compression dressings and bandages.
• Topical treatments to reduce scarring and promote healing.
• Surgical interventions for severe scar management.

Pros of Alternates:

• Non-invasive and do not require custom fabrication.
• May provide relief in mild cases of burns and swelling.

Cons of Alternates:

• May not offer the same level of compression and targeted healing.
• Could be less effective in preventing scar tissue formation.

Patient Experience

• Patients may feel initial tightness or discomfort which typically eases with regular use.
• Sensations of warmth and enhanced circulation in the treated area.
• Pain management might involve over-the-counter pain relievers if there is discomfort.
• Comfort measures include ensuring the garment fits well and does not cause friction or excessive pressure points.