Pneumatic Compression Pumps for Treatment of Lymphedema and Venous Ulcers
Summary
Non-programmable single-compartment or multi-chamber pneumatic compression pumps applied to the limbs may be considered medically necessary for lymphedema that has failed to respond to conservative measures such as limb elevation and compression garments. Programmable pneumatic pumps applied to the limbs may be considered medically necessary only when the individual is otherwise eligible for a non-programmable pump and either has unique characteristics (such as significant scarring or recent surgery) that prevent satisfactory compression with a non-programmable pump, or has had an inadequate response to an initial course of treatment with a non-programmable pump applied to the limbs. Pneumatic compression pumps used to treat venous ulcers, and single-compartment or multichamber compression pumps applied to the head or neck, are considered investigational.
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