Venowave - Deep Vein Thrombosis (DVT) Prevention
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Venowave - Deep Vein Thrombosis (DVT) Prevention
VENOWAVE MAY BE COVERED BY YOUR HEALTHCARE INSURANCE! PLEASE INQUIRE WITH YOUR INSURANCE PROVIDER USING CODE E0683 PRIOR TO PURCHASE.
The Venowave is a compact, battery-operated peristaltic pump designed to improve blood circulation and lymphatic flow in the lower limbs. When worn below the knee and secured to the calf, it generates a wave-like motion that compresses the calf, promoting upward movement of venous and lymphatic fluids. This device offers a mobile and comfortable alternative to traditional compression therapies, such as compression socks and is a very popular product among our customers.
Key Features:
- Compact and lightweight design
- Continuous wave motion for improved circulation
- Includes Rechargeable Battery (Single 1.5-volt NiMH AA battery)
- Rechargeable Battery Life: 20-24 Hours
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Prescription Required
Primary Uses:
The Venowave is intended for use in various medical conditions, including:
- Prevention of deep vein thrombosis (DVT)
- Management of post-thrombotic syndrome (PTS) symptoms
- Treatment of lymphedema
- Reduction of post-operative pain and swelling
- Treatment of leg swelling due to vascular insufficiency
- Treatment of varicose veins
- Treatment of chronic venous insufficiency
- Enhancement of blood circulation
- Treatment of intermittent claudication
Medicare/Medicaid/Insurance Code: E0683
The Venowave VW5 has been assigned the permanent Healthcare Common Procedure Coding System (HCPCS) code E0683 by the U.S. Centers for Medicare and Medicaid Services (CMS). This designation facilitates reimbursement for the device under Medicare and Medicaid programs.
With the HCPCS code E0683, the Venowave is recognized as durable medical equipment (DME), making it eligible for reimbursement under Medicare and Medicaid. This recognition is significant, as it is the first device of its kind to receive this specific HCPCS Level II designation.
For patients, this means that the Venowave may be covered by private health insurance plans that follow Medicare and Medicaid guidelines, potentially reducing out-of-pocket expenses. Healthcare providers can now prescribe this device with the assurance that it has an established reimbursement pathway, facilitating its integration into patient care plans.
The assignment of HCPCS code E0683 to the Venowave enhances its accessibility and affordability for patients requiring improved blood circulation and management of various venous conditions.
How to Obtain Insurance Reimbursement:
If you have purchased or are planning to purchase the Venowave, you may be eligible for insurance reimbursement. Follow the steps below to submit your claim successfully:
Step 1: Confirm Insurance Coverage
- Contact Your Insurance Provider: Call the customer service number on the back of your insurance card.
- Ask About Coverage: Inquire whether your insurance plan covers the Venowave, a medical device for circulation support.
- Request Necessary Documentation: Ask if your insurance provider requires prior authorization, a prescription, or specific forms to process the claim.
Step 2: Obtain a Prescription or Letter of Medical Necessity
- Consult Your Doctor: Your healthcare provider must assess your condition and determine if the Venowave is medically necessary.
- Request a Prescription: Ask your doctor to provide a prescription for the Venowave.
- Letter of Medical Necessity (If Required): Some insurers require a detailed letter from your doctor explaining why you need the device, how it helps your condition, and why alternative treatments may not be suitable.
Step 3: Purchase the Venowave
Buy the Venowave through Hero Lifecare and keep all receipts and invoices. Your Hero LifeCare invoice will include all the need information including the device name, cost, purchase date, and Hero Lifecare’s business details - be certain to include the insurance code E0683.
Step 4: Complete Insurance Claim Forms
Obtain the insurance claim form from your provider’s website or customer service.
Fill out the form accurately with your personal details, policy number, and details about the Venowave.
Step 5: Submit the Claim
Attach Required Documents:
- Completed insurance claim form
- Doctor’s prescription and/or Letter of Medical Necessity
- Purchase receipt/invoice from Hero Lifecare
- Any additional documents required by your insurance provider
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Send to Your Insurance Provider:
Submit via mail, fax, or online portal, as per your insurer’s instructions.
Keep copies of all documents for your records.
Step 6: Follow Up
- Check Claim Status: Contact your insurance provider after 2–4 weeks to confirm receipt and processing.
- Respond to Requests: If additional information is required, provide it promptly to avoid delays.
Step 7: Appeal If Necessary
If your claim is denied, request a written explanation. Consult your doctor for further documentation or assistance in filing an appeal. Resubmit with additional supporting information.
Estimated Timeline for Insurance Reimbursement
- Step 1: Confirm Insurance Coverage / 1–2 days (depending on insurance provider response time)
- Step 2: Obtain Prescription or Letter of Medical Necessity / 3–7 days (depends on your doctor’s availability)
- Step 3: Purchase the Venowave / Immediate (once you complete the purchase)
- Step 4: Complete Insurance Claim Forms / 1–2 days (if all required documents are ready)
- Step 5: Submit the Claim / Immediate (online submission) or 3–7 days (if mailing)
- Step 6: Claim Processing by Insurance / 2–6 weeks (varies by provider)
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Step 7: Follow Up or Appeal (if necessary) / Additional 2–4 weeks if an appeal is required
Total Estimated Time
- Best-case scenario: 3–6 weeks (if no issues arise)
- If additional documentation or an appeal is needed: 6–10 weeks or longer
- To speed up the process, ensure you have all required documents ready, submit forms online if possible, and follow up regularly with your insurance provider.
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