Lymphedema Certification and Online Education

Archive for the Lymphedema Life Impact Scale Category

LLIS Update

Developer Jan Weiss has worked diligently to establish what change in a patient’s LLIS scores is actually statistically significant. The psychometrics are as follows: MCID (minimal clinically important difference) is 7.31 and MDC95 (minimal detectable change) is 11.53. This means that if your patient scores more than 7 points better from their pre- to post-treatment LLIS scores, there has been clinically-significant improvement.

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Assistance with G Code Determination

In 2013, the Centers for Medicare and Medicaid (CSM) mandated the use of functional limitation reporting for documentation as a means to base treatment, set goals, and substantiate third-party payment. The selection of appropriate “G” code for patients being treated for lymphedema can be difficult, especially when the individual’s functional level is normal or high. Assistance with documentation can be found using a reference, the International Classification of Functioning, Disability and Health (ICF)1, originating from a document developed by the World Health Organization (WHO) in 1980.

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