Pneumatic Compression Devices

Pneumatic compression devices are covered for home use to treat lymphedema after a documented 4-week conservative therapy trial and for chronic venous insufficiency of the lower extremities with venous stasis ulcers after a documented 6-month conservative therapy trial, provided a physician prescribes and oversees therapy. Coverage requires detailed physician documentation of diagnosis/prognosis, objective measurements, prior treatments tried and failed, a treatment plan specifying pressure/frequency/duration, and documented clinical response to initial device use; HCPCS E0652 (segmented calibrated gradient) is covered only in narrowly defined unique circumstances.

"Pneumatic compression devices are covered in the home setting for treatment of lymphedema when the patient has undergone a 4-week trial of conservative therapy (compression bandage or compression g..."