Recommended updates to the lipedema.org coding page Aug 19 2020. https://www.lipedema.org/about-lipedema The information on the www.lipedema.org web page (Aug 19, 2020) is confusing and incorrect. Please see the update below. On June 12, 2020 an ICD-10-CM evaluation committee, headed by Dr. Karen Herbst with support from the American Vein and… Continue reading
The most common claim form is the CMS-1500 form. This is what medical clinics use for professional services. (A hospital bills on a separate form, the UB-04). If you work out a Single Case Agreement (SCA) with and insurance company you will fill out the CMS-1500 form. Below are files… Continue reading
Yes, this is the same Guidebook that is on Amazon.com. It is provided here at no cost to you and in .DOC format so you can copy-and-paste any of into your pre-authorization or appeal document. I am updating it every 4-6 weeks. My goal is to update this document every… Continue reading
Lipedema and Lipolymphedema [Update September 9, 2020 Karen Herbst presented the new codes to the NCHS/CDC committee. The meeting went well and after a public review period it will be determined in early 2021 if they will move forward with the new codes.] Lipedema, initially described at the Mayo clinic… Continue reading
The information below would be of most interest to those performing liposuction for lipedema, and in particular those who are interested in obtaining carrier reimbursement for the procedure. Please see my other posts concerning reconstructive versus cosmetic and medical necessity for coverage of those important reimbursement issues. The information below… Continue reading
I’ve been contacting researchers,surgeons, associations, and patients for months and providing up-to-date and accurate information on how to be reimbursed by insurance companies for liposuction for lipedema. The question I get most often is, “How can I help? What specifically do you want me to do?” So here is the… Continue reading
I am preparing a submission for the addition of specific lipedema codes for publication on Oct. 1 2021 to The National Center for Health Statistics (NCHS). Specific lipedema codes are needed for identification, tracking, and research. There are two due dates for feedback: June 12, 2020 and then September 2020…. Continue reading
The most recent Excel version of the checklist is above. 1 Liposuction for Lipedema Reimbursement CHECKLIST. Asterisk * [right] means additional information is available on www.lipoforlipedemareimbursement.com [December 2, 2020] Check website for updates.2 Make a decision for surgery (in the future). [Website www.lipoforlipedemareimbursement.com]3 Review your insurance policy for coverage information…. Continue reading
This term has different means depending on its usage. Many are inter-related. Clinical: It refers to whether treatment of a disease or condition is warranted medically. This is in regard to published Clinical Practice Guidelines (CPGs) for care for a particular condition. There are clinical guidelines for many conditions including… Continue reading
Currently (MAR 2020), There is no ICD-10-CM diagnosis code in the United States specific to Lipedema. After reviewing this issue, I have identified three ICD-10-CM codes used in the USA for lipedema. Each one has its pros and cons. The three are: R60.9 Edema Q82.0 Familial Hereditary Edema E88.2: Adiposis… Continue reading
What CPT code should I submit for reconstructive liposuction? Continue reading