What is the LCD for code E0652?
PNEUMATIC COMPRESSOR
Group 1
| Code | Description |
|---|---|
| E0652 | PNEUMATIC COMPRESSOR, SEGMENTAL HOME MODEL WITH CALIBRATED GRADIENT PRESSURE |
| E0655 | NON-SEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, HALF ARM |
| E0656 | SEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR, TRUNK |
What is a LCD in Medicare?
What’s a “Local Coverage Determination” (LCD)? LCDs are decisions made by a Medicare Administrative Contractor (MAC) whether to cover a particular item or service in a MAC’s jurisdiction (region) in accordance with section 1862(a)(1)(A) of the Social Security Act.
Does Medicare cover E0652?
Lymphedema is a condition characterized by swelling of tissues in an affected body part due to accumulation of excessive fluid. Medicare allowed charges for the most expensive type lymphedema pump (E0652) increased from $18.5 million in 1991 to $106.7 million in 1995–almost a 500 percent increase in 4 years.
What is the difference between LCD and NCD for Medicare?
When a contractor or fiscal intermediary makes a ruling as to whether a service or item can be reimbursed, it is known as a local coverage determination (LCD). When CMS makes a decision in response to a direct request as to whether a service or item may be covered, it’s known as a national coverage determination (NCD).
What is the difference between E0651 and E0652?
E0651-recommended for treatment of Lymphedema and Venous Insufficiency. E0652- recommended for treatment of Lymphedema and Venous Insufficiency as well as serious Venous Stasis Ulcers, Wounds and/or limb tenderness.
What is pneumatic compression device?
Intermittent pneumatic compression (IPC) devices are used to help prevent blood clots in the deep veins of the legs. The devices use cuffs around the legs that fill with air and squeeze your legs. This increases blood flow through the veins of your legs and helps prevent blood clots.
Is E0218 covered by Medicare?
Water circulating cold pad with pump (E0218) will be denied as not reasonable and therefore not covered by Medicare.
What is a pneumatic compression device?
Does Medicare pay for leg compression devices?
Pneumatic compressions devices (otherwise known as Lymphedema or leg compression pumps) can be covered through Medicare if the patient has Lymphedema. If your doctor says compression socks are medically necessary for neuropathy, then Medicare will cover it.
Does an LCD override an NCD?
NCDs supersede LCDs, but LCDs expand on coverage policies for each jurisdiction, and these coverage policies may vary, including information regarding appropriate coding, credentialing, diagnostic testing, and treatment. General information about Medicare coverage can be found in LCDs.