Can I Be Reimbursed For My Compression Pump?

Medicare requires a physician's prescription to reimburse for medical compression pumps with a description of the lymphedema pump or DVT pump product, start date, and length of time. The physician will need to sign and date the prescription. A Certificate of Medical Necessity is also necessary and may replace a prescription(for reimbursement purposes) if the above information is included. For those using compression pumps for Lymphedema, you must have gone through four weeks of conservative therapy. For a diagnosis of chronic venous insufficiency with venous status ulcers, patients must undergo six months of conservative therapy. Your physician must provide information about the status of the venous status ulcers.

Insurance reimbursement rates can vary. Check with your insurance company to see if you qualify for compression pump reimbursement.

How much will Medicare and Medicaid reimburse me?

Reimbursement rates vary. Please visit the U.S. Department of Health & Human Services web site for the most recent reimbursement rates.

Sources

KCI
Huntleigh Healthcare

Helpful Articles

National Lymphedema Association (US) - The National Lymphedema Association (US)
Lymphedema - The Lymphedema Association of Australia
Lymphovenous Canada - How effective are extremity pumps?
eMedicine - Deep Venous Thrombosis and Thrombophlebitis
Medicare - Medicare Coverage Database
Medicare - HCPCS Codes