Negative Pressure Wound Therapy - JD 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
Related Articles
The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.