INSURANCE INFORMATION
MEDICARE
Lymphedema
Medicare generally does not cover night time compression modalities for lymphedema.
Wound Care
Medicare generally does not cover night time compression modalities for lymphedema.
 
Medicaid is a federally funded program that is administered by the state, so coverage will vary by state.
MEDICAID
PRIVATE INSURANCE
Many private insurances will cover a portion of the cost of compression products. Coverage is generally very good when it is secondary lymphedema as a result of an auto accident or workers comp claim. A prescription and letter of medical necessity improves the chances of being covered. Many insurance companies will issue a preauthorization of coverage. Please indicate on the order form if you are seeking an estimate for insurance preauthorization.

 
 
BRAND                                      HCSPCS CODE                                               COMMENTS
CompreFit – BK
A6545-AW
Non-elastic binder for extremity, 30-50 mmHg. There must be a wound present for Medicare. The 2016 Medicare fee schedule is $94.17
CompreFit – TC
E1399
Misc. DME Non-covered item. Will be reviewed.
CompreFit – PLUS
E1399
Misc. DME Non-covered item. Will be reviewed.
CompreFLEX – LITE
A6545-AW
Non-elastic binder for extremity, 30-50 mmHg. There must be a wound present for Medicare. The 2016 Medicare fee schedule is $94.17
CompreFLEX – BK/TC
E1399
Misc. DME Non-covered item. Will be reviewed.
MedAssist – ARM/BK/TH/LCS
E1399
GeniFit
E1399
Misc. DME Non-covered item. Will be reviewed.
CompreBoot/CompreBoot PLUS
E1399
Misc. DME Non-covered item. Will be reviewed.
MedaHand/MedaGlove
E1399
Misc. DME Non-covered item. Will be reviewed.
Accessories
E1399
Misc. DME Non-covered item. Will be reviewed.
BiaFORM/CompreForm 4cm, 6cm, 8cm, 10cm, 12cm
E1399
Stocking Interface
A6457
ElastoSoft-2″ 

ElastoSoft-3″

ElastoSoft-4″

ElastoSoft-6″
A6442

A6443

A6443

A6444
 
Stocking Interface
E1399
Misc. DME Non-covered item. Will be reviewed.