CommercialCoverageMedium impact
Powered Compression Devices/Lymphedema Pumps 1.01.17
Excellus BlueCross BlueShield·PM&R (Physical Medicine & Rehab), Wound Care, Plastic Surgery +2 more·Durable Medical Equipment & Supplies
Effective date
Apr 15, 2026
We identified it
Jun 20, 2026
Summary
Excellus BlueCross BlueShield updated their policy for powered compression devices/lymphedema pumps, effective April 15, 2026. The policy establishes specific coverage criteria for standard and advanced pneumatic compression devices, requiring documented failure of 4-week conservative therapy and supervised training for approval.
Action Required
Before April 15, 2026: Billing team must update prior authorization requirements for lymphedema pump codes E0650, E0651, and E0652. Ensure documentation includes proof of intractable lymphedema, 4-week conservative therapy failure (compression garments, exercise, elevation), and supervised training completion. Flag codes E0675, E0680-E0683 as investigational/non-covered. Update denial management processes for non-covered compression device types.