Medicare AdvantageCoverageMedium impact
MA05.004g, Pneumatic Compression Therapy Devices
Independence Blue Cross·Cardiology, PM&R (Physical Medicine & Rehab), Wound Care +2 more·Medical Policy
Effective date
Oct 1, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA05.004g for Pneumatic Compression Therapy Devices has been updated with an effective date of October 1, 2025. This policy change affects coverage criteria, billing requirements, or prior authorization rules for pneumatic compression devices used to treat lymphedema and venous insufficiency.
Action Required
By October 1, 2025: Billing team must review updated policy MA05.004g for pneumatic compression therapy devices at the provided URL to identify specific changes to coverage criteria, prior authorization requirements, or billing procedures. Update billing system and encounter forms accordingly for Medicare Advantage patients requiring pneumatic compression therapy.