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I89.0
Lymphedema, not elsewhere classified
ICD10CM code
Medical Policies and Guidelines for Lymphedema, not elsewhere classified
Related policies from health plans
ANTHEM-BLUECROSS-CA
Pneumatic Compression Devices for Lymphedema
ANTHEM-BLUECROSS-CA
Pneumatic Compression Devices for Lymphedema
CIGNA
Compression Devices - (0354)
CIGNA
Electrodiagnostic Testing (EMG/NCV) - (CPG129)
ANTHEM-BLUECROSS-CT
ANC.00009 Cosmetic and Reconstructive Services of the Trunk, Groin, and Extremities
OSCAR
Pneumatic Compression Pumps (CG049)
ANTHEM-BLUECROSS-CT
CG-DME-06 Compression Devices for Lymphedema
ANTHEM-BLUECROSS-CT
CG-DME-06 Compression Devices for Lymphedema
ANTHEM-BLUECROSS-CT
SURG.00154 Microsurgical Procedures for the Prevention or Treatment of Lymphedema
Similar Codes
ICD10CM codes
I89.0
- Lymphedema, not elsewhere classified
E88.1
- Lipodystrophy, not elsewhere classified
Q82.0
- Hereditary lymphedema
I89.8
- Other specified noninfective disorders of lymphatic vessels and lymph nodes
I89.9
- Noninfective disorder of lymphatic vessels and lymph nodes, unspecified
I89
- Other noninfective disorders of lymphatic vessels and lymph nodes
E88.2
- Lipomatosis, not elsewhere classified
I97.2
- Postmastectomy lymphedema syndrome
I88.9
- Nonspecific lymphadenitis, unspecified
I89.1
- Lymphangitis
HCPCS codes
E0676
- Intermittent limb compression device (includes all accessories), not otherwise specified
L2999
- Lower extremity orthoses, not otherwise specified
G9012
- Other specified case management service not elsewhere classified
A6512
- Compression burn garment, not otherwise classified
E0625
- Patient lift, bathroom or toilet, not otherwise classified
L5999
- Lower extremity prosthesis, not otherwise specified
L3999
- Upper limb orthosis, not otherwise specified
L8699
- Prosthetic implant, not otherwise specified
J7599
- Immunosuppressive drug, not otherwise classified
C1889
- Implantable/insertable device, not otherwise classified
CPT4 codes
93702
- Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s)
38999
- Unlisted procedure, hemic or lymphatic system
38308
- Lymphangiotomy or other operations on lymphatic channels
38589
- Unlisted laparoscopy procedure, lymphatic system
38530
- Biopsy or excision of lymph node(s); open, internal mammary node(s)
01930
- Anesthesia for therapeutic interventional radiological procedures involving the venous/lymphatic sys
78195
- Lymphatics and lymph nodes imaging
38531
- Biopsy or excision of lymph node(s); open, inguinofemoral node(s)
38505
- Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary)
75803
- Lymphangiography, extremity only, bilateral, radiological supervision and interpretation
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