CommercialCoverageMedium impact
Pneumatic Compression Pumps for Treatment of Lymphedema and Venous Ulcers
Blue Cross & Blue Shield of Mississippi·MS · Wound Care, Vascular Surgery, Oncology +2 more·Medical Policy
We identified it
Jun 20, 2026
Summary
BCBS Mississippi has updated their medical policy on pneumatic compression pumps for lymphedema and venous ulcers. The policy establishes specific coverage criteria for single-compartment and multi-chamber pumps for lymphedema treatment, while considering pneumatic compression pumps for venous ulcers as investigational (not covered).
Action Required
Immediately: Review all pneumatic compression pump claims for lymphedema patients to ensure documentation shows failure of conservative measures (elevation, compression garments) before billing E0650 or E0651. For programmable pumps (E0651), verify documentation includes unique patient characteristics like significant scarring that prevent use of non-programmable pumps. Stop billing pneumatic compression pumps for venous ulcer treatment as these are now considered investigational. Update prior authorization requirements to include conservative treatment failure documentation.