CMS Revises Compression Bandaging Billing Same Day as Manual Therapy
The Centers for Medicare and Medicaid Services (CMS) has made a revision to the billing of the multi-layer compression bandaging CPT codes (29581 and 29584) on the same day that the same provider also bills manual therapy (97140) for the same anatomic region.
Question
What is the revision that CMS made to the billing of the multi-layer compression bandaging CPT codes (29581 and 29584) on the same day that the same provider also bills manual therapy (97140) for the same anatomic region?
Answer
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Question
What is the effective date of this change?
Answer
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Hi Rick,
Right now on CMS.gov it states the article for billing lymphedema codes 29581 for lymphedema treatment is suspended and retired. Where can a find the updated article to guide guide billing for a lymphedema diagnosis. Here is the link: https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53287
Thank you so much!
Here is a LCA from Noridian:
https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=55710&ver=7&keywordtype=starts&keyword=Lymphedema&bc=0
This article states:
There is no Medicare coverage for lymphedema compression bandage application as this is considered to be an unskilled service. This non-coverage extends to the application of high compression, multi-layered, sustained bandage systems (e.g., Profore®, Dynaflex®, Supress®, coded with CPT® 29581 or 29584.
Can multi-layered bandaging no longer be billed as 29581 with a lymphedema dx under the treatment of complete decongestive therapy? Thank you!
For Noridian, that would be correct. I assume that is the article you are referencing.