Medicare Screening List - L

 

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L

Product Name

Covered/
Denied

Explanation

LAMB'S WOOL PAD

 D

does not meet the definition of durability; and, therefore, will be denied as non-covered.

LYMPHEDEMA PUMP

only as a treatment of last resort, i.e., other less intensive treatment must have been tried first and found inadequate. Such treatment would include leg or arm elevation and custom fabricated gradient pressure stockings or sleeves.

Is covered only for the treatment of refractory lymphedema. This condition is a relatively uncommon medical problem. Causes of lymphedema include:

  • spread of malignant tumors to regional lymph nodes with lymphatic obstruction,
  • radical surgical procedures with removal of regional groups of lymph nodes (e.g., after radical mastectomy),
  • post-radiation fibrosis.

NOT COVERED
if the patients diagnosis is edema.

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