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Compression burn garment, upper trunk to waist including arm openings (vest), custom fabricated

HCPCS code

Name of the Procedure:

Compression Burn Garment, Upper Trunk to Waist Including Arm Openings (Vest)

  • Common Name: Custom Compression Vest
  • Technical Term: Compression burn garment


A custom compression vest is a specially designed garment used to apply pressure to burned skin areas, particularly on the upper trunk, waist, and arm openings. It helps in reducing scarring and improving skin healing post-burn injury.


  • Medical Conditions Addressed: Burn injuries requiring pressure therapy.
  • Goals/Outcomes: Minimize scarring, reduce itchiness and pain, and promote even skin healing.


  • Patients with hypertrophic scars and keloids from burn injuries.
  • Individuals experiencing uneven skin graft take.
  • Those in need of pressure therapy for improved healing post-burn.


  • No specific fasting or medication adjustments required.
  • Measurements and skin assessments to custom fit the garment.
  • Consultation to determine the appropriate fabric and pressure level.

Procedure Description

  1. Measurement: Healthcare provider takes precise measurements of the patient’s upper trunk, waist, and arm openings.
  2. Fabrication: A custom compression vest is fabricated according to the measurements.
  3. Fitting: The patient returns to ensure the vest fits properly and adjustments are made if necessary.
  4. Instruction: The patient is instructed on how to wear and care for the garment.


  • Measuring tape
  • Custom fabrication tools

No anesthesia or sedation is required.


The fitting session typically takes about 30-60 minutes. Fabrication time varies but usually takes a few weeks.


  • Outpatient clinic or specialized medical equipment facility.


  • Certified Prosthetist-Orthotist (CPO)
  • Healthcare provider specialized in burn care

Risks and Complications

  • Common Risks: Skin irritation, discomfort from pressure.
  • Rare Risks: Allergic reaction to fabric, restricted movement.


  • Expected Benefits: Reduced scar formation, improved skin texture and appearance, less pain and itchiness.
  • Timeline: Benefits typically observed over several months of consistent use.


  • Post-Procedure Care: Regular cleaning of the vest as instructed, ensuring proper fit over time.
  • Recovery Time: Continuous use for several months; adjustments as necessary.
  • Follow-Up: Regular follow-up appointments to monitor skin healing and adjust the garment.


  • Silicone gel sheets: Less invasive but may not provide adequate pressure.
  • Surgery: More invasive and comes with its own risks.
  • Pros and Cons: Compression garments are non-invasive and can be used long-term, whereas surgery is a single-event treatment but involves a more complex recovery.

Patient Experience

  • During Procedure: Measurement and fitting process are painless.
  • Post-Procedure: Initial discomfort as patient adjusts to wearing the vest, but generally well-tolerated. Regular use and proper fit significantly enhance patient comfort over time.
  • Pain Management: Minimal pain, managed through adjustments and soft, breathable materials for the vest.

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