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When to Refer for a Lymphedema Pump: A Clinical Guide | 2026

When to Refer for a Lymphedema Pump: A Clinical Guide | 2026

When to Refer for a Lymphedema Pump: A Clinical Guide | 2026Kris Scheufele
Published on: 04/20/2026

A 2026 clinical decision guide on referring patients for pneumatic compression — coverage criteria, the four-week trial, HCPCS codes, and PA requirements.

when to refer for a lymphedema pumpHCPCS E0650 E0651 E0652PCD audit defenselymphedema pump documentationNCD 280.6four-week conservative therapy lymphedemaE0652 coverage requirementsE0651 prior authorization 2026lymphedema pump Medicare criteriapneumatic compression device referral