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Vasopneumatic Devices Modality (CPT code 97016)


The use of vasopneumatic devices may be considered reasonable and necessary for the application of pressure to an extremity for the purpose of reducing edema.

Specific indications for the use of vasopneumatic devices include:

- reduction of edema after acute injury;
- lymphedema of an extremity; and/or
- education on the use of a lymphedema pump for home use.

Note: Further treatment of lymphedema by a provider after the educational visits are generally not medically necessary. Education on the use of a lymphedema pump for home use can typically be completed in no more than three (3) visits.

The use of vasopneumatic devices would not be covered as a temporary treatment while awaiting receipt of ordered Jobst stockings.


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