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Frequently Asked Questions

What KCI pneumatic compression devices are reimbursable by Medicare?

The following KCI pneumatic compression devices are Medicare reimbursable:

KCI Extremity Pump® System 7000 – Medicare Coverage Code E0650
KCI Extremity Pump® System 7500 – Medicare Coverage Code E0651

What are the Medicare reimbursement amounts for KCI's Extremity Pump® System in my area?

Please download the attached Durable Medical Equipment, Prosthetics/Orthotics, and Supplies (DMEPOS) Fee Schedule issued by theCenters for Medicare & Medicaid Services (CMS). Locate the appropriate Medicare Coverage Code and state to find the corresponding reimbursement amount.

Durable Medical Equipment, Prosthetics/Orthotics, and Supplies (DMEPOS) Fee Schedule

 

Medicare requires a Certificate of Medical Necessity (CMN), which has been completed, signed and dated by the treating physician and must be kept on file by the supplier and made available to the DMERC on request. The CMN may act as a substitute for a written order if it contains all of the required elements of an order.


Where can I locate a Certificate of Medical Necessity (CMN) for pneumatic compression devices?

 

Please click the corresponding link to download a copy of Certificate of Medical Necessity for lymphedema pneumatic compression devices.

 

Where can I locate more information on the Medicare coverage policy for the pneumatic compression devices?

 

For more detailed information on the Medicare coverage policy for pneumatic compression devices, please click the link listed below:

Medicare Coverage Information for Pneumatic Compression Devices

This summary is not intended to be all-inclusive and should not be relied on for final coverage determinations.  Specific DMERC, Medicaid or Health Plan coverage policies should be reviewed prior to making any coverage determinations.   Additional criteria may be required for coverage of eligible patients depending on individual circumstances.   The information contained in this website is provided for informational purposes only and represents no statement, promise or guarantee by KCI concerning the levels of reimbursement, payment, calculations, eligibility, charge or that these policies and codes will be appropriate for specific services or products provided or that reimbursement will be made.  Information is current as of the date of publication and is subject to change at anytime.  KCI recommends that you consult your local CMS contracted carrier, Medicaid carrier or other applicable payor organization with regard to specific reimbursement policies, coverage, documentation, payment and criteria.  Individual circumstances and situations may vary.