Types of Local Coverage Determinations (LCDs) ![]() Local Coverage Determinations for Pneumatic Compression Devices The importance of decongesting adjacent regions before draining the affected limb has led to development of breast, trunk and abdominal appliances and associated clinical protocols for the use of pneumatic sequential compression in the treatment of lymphedema. Scientific knowledge of the function and pathology of the human lymphatic system has also advanced in the intervening 12 years, knowledge that could guide the referring physician and treating lymphedema therapist in the specifying of an appropriate sequential compression device, its set-up and clinical and patient use. For a primer on the subject of PCDs for lymphedema treatment I recommend reading "All You Need to Know About Sequential Compression Devices" on this web site at Since 2001 there has been significant development of pump designs specifically for superficial lymphatic decongestion, distinct from pumps originally developed to aid venous circulation. ![]() In 2001, as a result of National Coverage Analysis CAG-00016N, the rules for coverage of pneumatic compression devices (PCDs) for lymphedema treatment were separated from the rules governing treatment of venous insufficiency, and the new rules were documented in Coverage Issues Manual §60-16, and later as National Coverage Determination (NCD) §280.6. I hope that my comments on this upcoming revision at the end of this article are being incorporated into the rewrite of the LCD. The current LCD and related PA will remain in effect." No future effective date for the draft policy is available at this time. Additional clinical information published since the release of the draft policy is being reviewed. "The Pneumatic Compression Devices Local Coverage Determination (LCD) and related Policy Article (PA) scheduled to take effect for dates of service on or after Novemare being delayed. Joint DME MAC Publication October 16, 2014 Pneumatic Compression Devices LCD Implementation Delayed Pneumaticcompression pumps for venous insufficiency.Dedicated to Lymphedema Patients and the Therapists Who Treat Them Effects of cold modality application with static and intermittent pneumatic compression on tissue temperature and systemic cardiovascular responses. ![]() Holwerda SW, Trowbridge CA, Womochel KS, Keller DM. DVT prevention: intermittent pneumatic compression devices. A comparative clinical study on five types of compression therapy in patients with venous leg ulcers. Influences of intermittent pneumatic compression therapy on edema and postoperative patient’s satisfaction after lipoabdominoplasty. Pneumatic compression improves quality of life in patients with lower-extremity lymphedema. ![]() The effectiveness of intermittent pneumatic compression in long-term therapy of lymphedema of lower limbs. Intermittent pneumatic compression (IPC) device.
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