On October 3, 2024, a joint DME MAC publication was posted to provide guidance on the correct coding and billing of pneumatic compression devices (PCD). The article aslo explains that both the pneumatic compression device LCD and accompanying policy article will be retired, effective November 14th, 2024.
General documentation requirements will be used to justify payment, and include:
- Standard Written Order (SWO),
- Medical records,
- Correct Coding, and
- Proof of Delivery (POD)
For specific documentation requirements, Suppliers are advised to refer to the Standard Documentation Requirements article for additional information regarding general documentation requirements.
The joint publication article also provides coding information, including how to determine the appropriate PCD HCPCS to be used for each covered condition, including lymphedema, chronic venous insufficiency with ulcers, and peripheral artery disease. NOTE: The current LCD only covered PCDs following a conservative trial, which is absent in the new publication.
Prevention of venous thromboembolism are excluded from coverage, which means E0676 (intermittent limb compression device) will be statutorily denied as no Medicare benefit.
If you have questions, or would like to know more about the ways The van Halem Group can help, contact us today!