Lymphedema and Lipedema Surgical Treatments - (0531)

Cigna covers lipectomy/liposuction for extremity (including hips/buttocks) lipedema and excisional or physiologic microsurgical procedures (e.g., LVA/LCVA, lymphovenous bypass, LVNA, VLNT) for lymphedema when policy criteria are met, but excludes lipedema surgery of the trunk/abdomen/back and considers prophylactic/AXR techniques (e.g., LYMPHA, ARM) experimental/not covered. Coverage requires documented failure of ≥3 months conservative therapy, specific objective/staging documentation (photographs and negative Stemmer sign/no pitting for lipedema; volumetric differential >10% if dominant or >7% if non‑dominant, or qualifying lymphoscintigraphy/ICG findings for lymphedema), evidence of functional impairment or recurrent infections as applicable, commitment to postoperative compression garment use, and absence of listed contraindications.

"Lipedema: Liposuction, (i."