The USMCA works to ensure clinically appropriate, high quality, medical compression garments are available to Medicare recipients with a lymphedema diagnosis in compliance with the Lymphedema Treatment Act (LTA), which passed December 2022. The resources below provide the latest information regarding implementation of this coverage.
The USMCA hosted a community meeting regarding the CMS Final Rule e-published Nov. 1, 2023.
Board of Certification/Accreditation (BOC) accredits businesses that provide DME, allowing them to bill third-party payors, including CMS. BOC offers several helpful resources for DMEPOS accreditation. MEPOS Supplier Business
USMCA compiled these resources to help navigate the implementation of the Lymphedema Treatment Act.
CGS Provider Outreach and Education developed this Fact Sheet to help you quickly understand the new Lymphedema Compressions Treatment Items benefit. Scroll to the bottom of that page to access additional resources.
The USMCA summarized the public information (published Jan. 22, 2024) regarding the LTA final rule with links to helpful resources. Access the article.
USMCA Consultant Carmen Anderson authored the article, "Medicare Coverage Expanded to Include Lymphedema Compression Supplies in 2024" for a recent AVF newsletter.
The Lymphedema Advocacy Group shared two webinars that provide a wealth of information for clinicians and suppliers. Linda Roherty, PT, CLT-LANA, and Guenter Klose hosted "LTA & Medicare Documentation Requirements Unpacked." SunMed Medical, with the National Lymphedema Network, led the "Putting the Pieces Together for Clinicians" webinar.
Centers for Medicare & Medicaid Services (CMS) outlines what's covered, how often, who is eligible and more. Visit the CMS site to learn more.
This publication provides billing and coding guidance pertinent to lymphedema compression treatment items, based on the CMS Final Rule CMS-1780-F. Read the article. Use this helpful online tool to look up the fee schedule based on HCPCS code.
Information USMCA shares on this website is intended solely for general educational purposes—not as professional advice. Always seek advice of a qualified healthcare professional if you need a medical diagnosis or treatment, as it relates to topics discussed. Do not disregard advice you have received, nor delay getting such advice, because of something you learn on this website or in our videos.
Questions? Email contact@usmedicalcompressionalliance.org.
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