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CommercialCoverageMedium impact

Compression Garments Reimbursement Policy

EmblemHealth·Vascular Surgery, Wound Care, General Surgery +2 more·Provider News
Effective date
Jun 15, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

EmblemHealth and ConnectiCare are introducing new compression garments reimbursement coverage effective June 15, 2024, following CMS guidelines when prescribed by a doctor and provided by DME suppliers. The policy includes updated codes from the January 2024 quarterly update.

Action Required

Action needed
By June 15, 2024: Billing team must update system to include new compression garments coverage for EmblemHealth and ConnectiCare members. Review the policy document for specific codes introduced in January 2024 quarterly update. Ensure claims are submitted through DME suppliers with proper physician prescriptions following CMS guidelines.