Pneumatic compression device medicare1/20/2024 A number of pneumatic devices have been constructed. See the Contact Us webpage for details.Pneumatic compression of tissues with lymph stasis is, aside from the manual massage, a commonly used therapeutic modality in limb lymphedema. CT, Monday through Friday, or email the PDAC by completing the DME PDAC Contact Form. For questions about correct coding, contact the PDAC Contact Center at (877) 735-1326 during the hours of 8:30 a.m. The PDAC contractor maintains a variety of resources to assist suppliers in determining the appropriate code for Medicare billing. Use of a miscellaneous or NOC code for billing of a non-covered item when a specific code exists is incorrect coding.Ĭorrect coding is an essential element for correct claim payment. See also article HCPCS Code A9283 – Devices Used for Edema or Ulcer Healingįor other non-covered items that do not fall within a specific code, A9270 (NON-COVERED ITEM OR SERVICE) is the appropriate code to bill to Medicare. A9283 FOOT PRESSURE OFF LOADING/ SUPPORTIVE DEVICE, ANY TYPE, EACH.L8010 BREAST PROSTHESIS, MASTECTOMY SLEEVE.A6549 GRADIENT COMPRESSION STOCKING/SLEEVE, NOT OTHERWISE SPECIFIED.A6545 GRADIENT COMPRESSION WRAP, NON-ELASTIC, BELOW KNEE, 30-50 MM HG, EACH.A6544 GRADIENT COMPRESSION STOCKING, GARTER BELT.A6541 GRADIENT COMPRESSION STOCKING, WAIST LENGTH, 40-50 MMHG, EACH.A6540 GRADIENT COMPRESSION STOCKING, WAIST LENGTH, 30-40 MMHG, EACH.A6539 GRADIENT COMPRESSION STOCKING, WAIST LENGTH, 18-30 MMHG, EACH.A6538 GRADIENT COMPRESSION STOCKING, FULL LENGTH/CHAP STYLE, 40-50 MMHG, EACH.A6537 GRADIENT COMPRESSION STOCKING, FULL LENGTH/CHAP STYLE, 30-40 MMHG, EACH.A6536 GRADIENT COMPRESSION STOCKING, FULL LENGTH/CHAP STYLE, 18-30 MMHG, EACH.A6535 GRADIENT COMPRESSION STOCKING, THIGH LENGTH, 40-50 MMHG, EACH.A6534 GRADIENT COMPRESSION STOCKING, THIGH LENGTH, 30-40 MMHG, EACH.A6533 GRADIENT COMPRESSION STOCKING, THIGH LENGTH, 18-30 MMHG, EACH.A6532 GRADIENT COMPRESSION STOCKING, BELOW KNEE, 40-50 MMHG, EACH.A6531 GRADIENT COMPRESSION STOCKING, BELOW KNEE, 30-40 MMHG, EACH.A6530 GRADIENT COMPRESSION STOCKING, BELOW KNEE, 18-30 MMHG, EACH.Includes compression bras, elastic binders, compression gloves, elastic knee and ankle supports or other types of elastic and non-elastic devices. A4467 BELT, STRAP, SLEEVE, GARMENT, OR COVERING, ANY TYPE.Includes non-elastic binders for upper and lower extremity. Some common examples of these non-covered items are (not all-inclusive): Other items are non-covered by Medicare when used for the treatment of edema because they do not fall into a statutory benefit category. Coverage is available when the beneficiary meets the specified criteria in the Local Coverage Determinations (LCDs) - Pneumatic Compression Devices and Surgical Dressings, respectively. Many products are used to provide treatment for this condition however, Medicare reimbursement for edema treatments is limited to pneumatic compression devices and certain types of multi-component compression bandage systems. Edema is swelling caused by the accumulation of excessive fluid in subcutaneous tissues.
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