03/15/2024
Lymphedema Compression Treatment Items
This content is for health care providers to inform them as to new coverage for their compression garment needs. If you’re a person with Medicare, learn more about your Medicare coverage for lymphedema compression treatment items.
Starting January 1, 2024, Medicare will pay for lymphedema compression treatment items for Medicare Part B patients.
What’s Covered?
We’ll pay for standard and custom-fitted lymphedema compression treatment items for each affected body part, including:
• Compression garments, including those for daytime and nighttime, which offer different levels of compression
• Compression bandaging systems and supplies provided during the initial decongestion phase and maintenance phases of treatment
• Gradient compression wraps with adjustable straps
• Necessary accessories for gradient compression garments and wraps, including:
o Aids for putting on and taking off (donning and doffing) items for different body parts, like lower limb butlers or foot slippers that help patients put on compression stockings
o Fillers
o Lining
o Padding
o Zippers
How Often?
We pay for compression garments:
• Daytime: 3 garments per affected body part every 6 months
• Nighttime: 2 garments per affected body part every 2 years
We also pay for items, as needed:
• To replace lost, stolen, or irreparably damaged items
• If a patient’s condition changes, like a change in limb size
Who’s Eligible?
We’ll pay for these treatment items when:
• The patient has Medicare Part B coverage (their annual Part B deductible and 20% coinsurance will apply)
• The patient has lymphedema (a chronic condition that causes swelling in the body's tissues) and will use the item to primarily and customarily treat it
• An authorized practitioner prescribes the item