November 2021
Pneumatic Compression Device payment policy update
In support of correct coding and payment accuracy, please be aware Blue Cross Blue Shield of Michigan will be updating its payment policy for pneumatic compressor devices. Beginning in February 2022, we’ll review HCPCS codes E0650-E0651 and E0655-E0673 to make sure claims contain diagnosis codes that are appropriate for the service billed.
This policy aligns with the Centers for Medicare & Medicaid Services. According to CMS, the application of pneumatic compression devices is indicated for the treatment of lymphedema or for the treatment of chronic venous insufficiency with venous stasis ulcers.
You’ll want to ensure that submitted claims reflect the services performed and the patient’s condition.
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