Both the American Medical Association (AMA) and Centers for Medicare & Medicaid Services (CMS) issued new rules covering the surgery. AMA issued a new Current Procedural Terminology (CPT) code for LVB surgery, while CMS finalized and released a payment rate for the procedures in the outpatient setting for 2026.
Together, the new actions create initial reimbursement for a procedure that previously required billing under unlisted codes. The new code (CPT 1019T lymphovenous bypass, including robotic assistance) goes into effect in the U.S. on Jan. 1, 2026. U.S. hospitals can then submit claims directly related to LVB procedures, further supporting facility payment and expanded access to lymphedema treatment options.