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[Georgia] Lymphedema Compression Treatment Items Claims Editing Enhancements
Act
by Feb 24, 2026
Effective date
Feb 24, 2026
Identified
May 9, 2026
Summary
CareSource is enhancing claims editing for lymphedema compression treatment items (HCPCS codes A6520-A6610) effective February 24, 2026. Billing teams must now include appropriate lymphedema diagnoses and use RT (right side) or LT (left side) modifiers to indicate treatment laterality for bilateral claims.
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What to do
by Feb 24, 2026 · 6 steps
01Billing team must implement the following updates in the billing system and provider documentation.
02Configure system edits to require appropriate lymphedema diagnosis codes when billing any HCPCS A6520-A6610 compression treatment items.
03Add requirement for RT (right side) or LT (left side) modifiers on all lymphedema compression claims to indicate treatment laterality.
04Update provider encounter forms and billing guidelines to remind providers of these requirements.
05Providers should be notified immediately via staff training.
06Claims submitted without appropriate diagnosis codes or laterality modifiers will be denied by CareSource beginning February 24, 2026.
Codes mentioned
A6520A6521A6522A6523A6524A6525A6526A6527A6528A6529A6530A6533A6534A6535A6536A6537A6538A6539A6540A6541A6549A6552A6553A6554A6555A6556A6557A6558A6559A6560A6561A6562A6563A6564A6565A6566A6567A6568A6569A6570A6571A6572A6573A6574A6575A6576A6577A6578A6579A6580A6581A6582A6583A6584A6585A6586A6587A6588A6589A6593A6594A6595A6596A6597A6598A6599A6600A6601A6602A6603A6604A6605A6606A6607A6608A6609A6610
Original notice
[Georgia] Lymphedema Compression Treatment Items Claims Editing Enhancements
caresource.com · Always check the source before changing claims.
Related changes
See all CareSource changes →[Ohio] Lymphedema Compression Treatment Items Claims Editing EnhancementsMediumEffective Jan 15, 2026 · Provider Bulletin[Indiana] Lymphedema Compression Treatment Items Claims Editing EnhancementsMediumEffective May 4, 2026 · Provider Bulletin[Ohio] Prior Authorization Requirement UpdateHighEffective Apr 1, 2025 · Provider Bulletin[Georgia] Prior Authorization Requirement UpdateMediumEffective Apr 1, 2025 · Provider BulletinBrowse every CareSource change in the policy list
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