Five Lipedema Myths 2020 JWC Consensus Document – Tobias Bertsch

This is provided for your review. It is a long and very technical document. While this is listed as a “consensus” document there are numerous researchers in the United States and internationally, who disagree with the conclusions of this paper. I will be working with a group of lipedema experts… Continue reading

Liposuction for Lipedema Reimbursement Guidebook

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

Liposuction Safety July 17, 2020

There is no national database that tracks all complications for all procedures so any number is an estimate. Deaths may be reported to state agencies but the number of cases done is not reported anywhere so while we may have an estimated numerator, there is no accurate denominator, especially since… Continue reading

Request for Feedback on Lipedema ICD-10-CM Codes for NCHS

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

Liposuction for Lipedema Research Highlights (8)

Lipedema: A Call to Action! (Buso G et al., 2019) Authors: Giacomo Buso, Michele Depairon, Didier Tomson, Wassim Raffoul, Roberto Vettor and Lucia Mazzolai, Wiley Online Library  Obesity, 27, 10, (1567-1576), (2019). Below is an excerpt of the most salient parts in regard to reimbursement for liposuction for lipedema. For patients with minimal or no improvement following conservative… Continue reading

Patient and Provider Criteria for Liposuction for Lipedema

The following is in the conclusion of Dr Bertsch’s four-part series on Lipedema Myths. Bertsch T et al. Lipedema – Myths … Phlebologie 2019; 48: 47–56 47 Some of the criteria below have not been well-defined. There is no international standard or US standard for performing liposuction for lipedema. One… Continue reading

Research to support Medical Necessity

There are over 300 research studies regarding lipedema. There are over forty, peer-reviewed journal articles reviewing the benefits, efficacy, and safety of tumescent, lymph-sparing liposuction as the only surgical treatment for lipedema. For a lay person the most daunting task is knowing which research is considered most scientifically sound and… Continue reading