Summary & Overview
HCPCS K1024: Non-Pneumatic Sequential Calibrated Compression Controller
HCPCS Level II code K1024 designates a non-pneumatic compression controller that provides sequential calibrated gradient pressure to assist venous and lymphatic circulation. This device-based code is relevant nationally for clinicians, durable medical equipment suppliers, and payers managing care for patients with edema, lymphedema, venous insufficiency or other circulatory conditions where sequential compression therapy is appropriate. The code matters for coverage determinations, device billing, and care coordination across outpatient, DME, and home settings.
Key payers addressed in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare and Medicare. Readers will find a summary of what the code represents, typical sites of service, and the clinical and billing context for use of non-pneumatic sequential compression controllers. The publication provides benchmarks and payer coverage notes where available, outlines common modifiers used with DME claims, and highlights policy considerations that affect device utilization and reimbursement. The content is organized to help stakeholders quickly understand coding intent, operational implications for supply and rental vs. purchase pathways, and where to look for payer-specific medical necessity and documentation requirements.
Billing Code Overview
HCPCS Level II code K1024 describes a non-pneumatic compression controller with sequential calibrated gradient pressure. This device delivers sequential, calibrated compression to limbs using a non-pneumatic mechanism designed to assist venous and lymphatic return.
-
Service type: Durable medical device therapy involving intermittent sequential compression
-
Typical site of service: Outpatient clinic, durable medical equipment (DME) supplier location, home health or patient home use
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult with chronic venous insufficiency, lymphedema, or post-thrombotic limb swelling who requires a non-pneumatic compression system to reduce edema and improve venous/lymphatic return. The device described by billing code K1024 (non-pneumatic compression controller with sequential calibrated gradient pressure) is provided by a durable medical equipment (DME) supplier or vascular/lymphedema clinic after a physician evaluation documents medical necessity.
Workflow:
-
The ordering clinician (vascular surgeon, physiatrist, or wound/lymphedema specialist) documents diagnosis, prior conservative measures (compression stockings, elevation, manual lymphatic drainage), and objective findings (limb circumference, ulceration, or impaired mobility).
-
A written order specifying
K1024and duration/frequency is sent to the DME supplier. -
The supplier verifies coverage, obtains any required prior authorization from the payor, and delivers the controller with appropriate garments and patient instruction.
-
The clinician documents device delivery, patient training, and scheduled follow-up to assess response, skin integrity, and device function. Ongoing home use is monitored via clinic visits or telehealth, and adjustments are made as clinically indicated.
Coding Specifications
| Modifier |
|---|