Negative Pressure Wound Therapy - JA DME
Negative Pressure Wound Therapy
Coverage
- Negative Pressure Wound Therapy Pumps Local Coverage Determination (LCD)
- Negative Pressure Wound Therapy Pumps Policy Article
Documentation
- Standard Documentation Requirements for All Claims Submitted to DME MACs
- Clinician Checklist Negative Pressure Wound Therapy - Continuous Coverage [PDF] - Checklist to assist clinicians with coverage and documentation requirements
- Clinician Checklist Negative Pressure Wound Therapy - Home Setting [PDF] - Checklist to assist clinicians with coverage and documentation requirements
- Clinician Checklist Negative Pressure Wound Therapy - Inpatient Setting [PDF] - Checklist to assist clinicians with coverage and documentation requirements
- Clinician Letter - Medical Records [PDF] - Letter may be sent to clinicians to help obtain documentation
- Clinician Letter - Negative Pressure Wound Therapy (NPWT) Pump [PDF] - Letter may be sent to clinicians to help obtain documentation
- Negative Pressure Wound Therapy Documentation Checklist [PDF] - Checklist to ensure suppliers gather all required documentation
Reviews/Audits
- Medical Review - View notifications/findings of pre/post claim reviews completed by Noridian Medical Review
Tips
Topic | Details |
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Billing Exclusions | A NPWT pump and supplies will be denied as not reasonable and necessary if one or more of the following are present:
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Negative Pressure Wound Therapy (NPWT) Continued Coverage | For qualifying wounds coverage to continue, a licensed medical professional must do the following:
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Last Updated Fri, 07 Oct 2022 20:12:42 +0000