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Lymphedema Pumps

·                 Lymphedema Pumps are covered for treatment of true lymphedema as a result of a:

·                         Primary Lymphedema resulting from a congenital abnormality of lymphatic drainage or Milroy’s disease, or

·                         Secondary lymphedema resulting from the destruction of or damage to formerly functioning lymphatic channels such as:

·                                 radical surgical procedures with removal of regional groups of lymph nodes (for example, after radical mastectomy),

·                                 post-radiation fibrosis,

·                                 spread of malignant tumors to regional lymph nodes with lymphatic obstruction,

·                                 or other causes

·                         Before you can be prescribed a pump, your physician must monitor you during a four-week trial period where other treatment options are tried such as medication, limb elevation and compression garments. If, at the end of the trial, there is little or no improvement, a lymphedema pump can be considered.

·                         The doctor must then document an initial treatment with a pump and establish that the treatment can be tolerated.

·                         Lymphedema pumps also are covered for the treatment of chronic venus insufficiency (CVI).

·                         Before you can be prescribed a pump for this condition, your physician must monitor you during a six month trial period where other treatment options are tried such as medication, limb elevation and compression garments. If at the end of the trial the stasis ulcers are still present, a lymphedema pump can be considered.

·                         The doctor must then document an initial treatment with a pump and establish that the treatment can be tolerated, that there is a caregiver available to assist with the treatment in the home, and then the doctor must prescribe the pressures, frequency, and duration of prescribed use.