Due to passage of the Consolidated Appropriations Act, 2023, the Centers for Medicare and Medicaid Services (CMS) will begin to reimburse for lymphedema standard and custom fitted gradient compression garments and other items as determined by the Secretary of Health and Human Services (HHS) beginning January 1, 2024. On November 1, 2023, CMS released the calendar year (CY) 2024 Home Health Prospective Payment System final rule. In this final rule, CMS finalized the following regarding lymphedema compression treatment items:

Due to passage of the Consolidated Appropriations Act, 2023, the Centers for Medicare and Medicaid Services (CMS) will begin to reimburse for lymphedema standard and custom fitted gradient compression garments and other items as determined by the Secretary of Health and Human Services (HHS) beginning January 1, 2024. On June 30, 2023, CMS released the calendar year (CY) 2024 Home Health Prospective Payment System proposed rule. In this proposed rule, CMS proposes the following regarding lymphedema compression treatment items:

Recently, I have been receiving emails from my followers as well as seeing an increased discussion on social media platforms regarding the billing and payment of CPT code 97140 (manual therapy) on the same day the same provider also bills CPT code 29581 and/or 29584 (application of a multi-layer compression system). So what is the issue with payment of CPT code 97140 when performed on the same date of service that the provider also bills CPT code 29581 and/or 29584? According to I hope you enjoyed this article. Thank you for being a Gold Member!

The American Medical Association created CPT code 29581 that became effective for dates of service on and after January 1, 2010 and CPT code 29584 that became effective for dates of service on and after January 1, 2012. Even though these codes have been active for 11 and 9 years respectively, there is still much confusion regarding the use and billing of these codes for patients who have lymphedema and are receiving outpatient physical and/or occupational therapy services. In this article, I will answer the following questions: What is the description of each CPT code? Are these CPT codes time-based