| Correct Coding for Pneumatic Compression Devices |
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Correct Coding for Pneumatic Compression Devices Pneumatic compression devices (PCD) consist of an inflatable garment for the arm or leg and an electrical pneumatic pump that fills the garment with compressed air. The garment is intermittently inflated and deflated with cycle times and pressures that vary between devices. Several categories of these devices exist. It is important to use the correct HCPCS code for the item provided. PCDs used for the treatment of lymphedema and chronic venous insufficiency with ulcers are coded based upon the characteristics of the base device. The codes used are: E0650 - PNEUMATIC COMPRESSOR, NON-SEGMENTAL HOME MODELE0651 - PNEUMATIC COMPRESSOR, SEGMENTAL HOME MODEL WITHOUT CALIBRATED GRADIENT PRESSUREE0652 - PNEUMATIC COMPRESSOR, SEGMENTAL HOME MODEL WITH CALIBRATED GRADIENT PRESSURE PCDs used for the treatment of arterial disease are coded: E0675 - PNEUMATIC COMPRESSION DEVICE, HIGH PRESSURE, RAPID INFLATION/DEFLATION CYCLE,FOR ARTERIAL INSUFFICIENCY (UNILATERAL AND BILATERAL SYSTEM) Sleeves used with E0650 - E0652 and E0675 are billed separately using codes E0655 E0673 depending upon the specific item provided. There are other types of PCDs that are often referred to as deep vein thrombosis (DVT) pumps, massage therapy pumps, post surgical DVT preventative pumps, etc. (not all inclusive). These types of devices are coded: E0676 - INTERMITTENT LIMB COMPRESSION DEVICE (INCLUDES ALL ACCESSORIES), NOT OTHERWISE SPECIFIED The garments/sleeves that are used with E0676 are included in the payment for E0676 on initial issue and must not be billed separately. If a supplier chooses to bill separately for the garment/sleeve at the time of initial issue, then HCPCS code A9900 - MISCELLANEOUS DME SUPPLY, ACCESSORY, AND/OR SERVICE COMPONENT OF ANOTHER HCPCS CODE must be used. HCPCS code A4600 - SLEEVE FOR INTERMITTENT LIMB COMPRESSION DEVICE, REPLACEMENT ONLY, EACH is used only when the sleeve is being replaced, not at the time of initial issue. This code may only be used with compressors coded with E0676. HCPCS codes E0655 E0673 must not be used when billing for garments used with E0676 devices. Refer to the Local Coverage Determination (LCD) and Policy Article for Pneumatic Compression Devices for coverage and HCPCS coding requirements. Remember! National Government Services' Jurisdiction B DME MAC List serv is for out going messages only. Please do not respond back to messages as your response will not be answered, as this is not an authorized mode of communication at this time, Thank You! National Government Services encourages all Web site users to provide feedback regarding ways to improve our Web site. The ForeSee Results (pop-up) survey is an easy mechanism for providers to use to let us know how we can best serve you. Your comments play a large role in the enhancements that are made to the National Government Services Web site. CONFIDENTIALITY NOTICE: This E-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply E-mail and destroy all copies of the original message. To unsubscribe/change profile: click here. Email list management powered by http://MailerMailer.com |