A referral for “Lymphedema Therapy” is required prior to initiating coverage of sessions. A patient co-pay may be required at time of visit.

Please fax referrals to Lympha Villa @ (833) 409-2204

No. Similar to other medical office visits - an initial health evaluation is required.

Components of the therapy sessions itself can range from lymphatic drainage massage (MLD), exercise components, compression bandaging/vasopneumatic compression pump usage or self-care re-education.

CPT CODES:

97140 - MANUAL THERAPY

97110 - THERAPEUTIC EXERCISE

97016 - COMPRESSION DEVICE

97535 - SELF-CARE TRAINING

ICD-10 CODES:

I89.0 - Lymphedema, not elsewhere classified

I97.2 - Postmastectomy lymphedema syndrome

I87.2 - Venous insufficiency (CVI)

R60.0 - Localized edema

R60.9 - Edema, unspecified