For providers
Choosing a pneumatic compression device
What we dispense, and why. Several manufacturers make appropriate devices — this is what ours does and what the published evidence shows.
E0651 and E0652 · leg, arm, trunk and abdominal garments · delivered and set up for the patient
The device we fit
Bio Compression Systems sequential circulator
Gradient sequential
Non-peristaltic. Distal chambers hold their pressure while the proximal chambers fill.
Three-year warranty
On the pump, across the lymphedema range.
Made in the USA
Moonachie, New Jersey. Domestic parts, service and replacement garments.
21 leg sizes, plus custom
Fitted to the limb rather than to the nearest available size.
Cleanable garments
Durable, wipeable nylon — it matters where infection risk is elevated.
4, 8 and 16 chambers
Leg, arm, trunk and abdominal garments. E0651 and E0652.
What the published evidence shows
Why a pump belongs in the plan
The first three come from studies run on Bio Compression devices by name. The same research also recorded direct cost of care falling from $4,239 to $600 per patient per year.
Desai & Shao, Ann Vasc Surg 2019 — supported by an unrestricted educational grant from Bio Compression Systems, Inc. Soran et al., Lymphat Res Biol 2021 — no competing interests, no funding. Lurie et al., Phlebology 2022;37(4):252–266 — expert consensus of the American Venous Forum, American Vein and Lymphatic Society and Society for Vascular Medicine. Full citations on request.
Ordering a pump
What to send us
Pump approvals turn on documentation. We review every file before it goes in and tell your office exactly what is missing.
Include with the order
- A signed, dated prescription with the diagnosis and ICD-10 code
- Chart notes from a recent face-to-face visit describing the swelling and symptoms
- A documented trial of conservative therapy — compression garments or bandaging, elevation and exercise — with dates
- Limb measurements before and after the trial, and why swelling is still not controlled
What we do next
- Check the patient's benefits and handle prior authorization when the plan requires it
- Fit the garments and deliver and set up the pump at the patient's home
- Call the patient at 30, 60 and 90 days to make sure it's working and being used
- Keep your office updated through Parachute or by fax
E0652 needs extra justification. For a fuller look at device codes and documentation, see Lymphedema Pumps: Evidence & How to Choose. Requirements vary by plan, and we confirm them for each patient.
Get started
Refer a pump patient
Fax 800-886-4201, order through Parachute Health, or use our secure provider portal. Questions? Call 800-883-1549.