#NEGATIVE PRESSURE WOUND THERAPY PROFESSIONAL#

If the above criteria are not met for the use of NPWT pumps/VAC systems in either setting, the pump and supplies are considered not medically necessary.

Complications of a surgically created wound (e.g., dehiscence, post-sternotomy disunion with exposed sternal bone, etc.) or traumatic wound, (e.g., preoperative flap or graft, exposed bones), where there is documentation of the medical necessity for accelerated formation of granulation tissue which cannot be achieved by other available topical wound treatments (e.g., other conditions that will not allow for healing times achievable with other topical wound treatments).

An ulcer or wound is encountered in the inpatient setting and after wound treatments have been tried or considered and ruled out, NPWT pumps/VAC is initiated because it is considered, in the judgment of the treating physician, the best available treatment option.

NPWT pumps/VAC may be considered medically necessary when continuation of treatment is ordered beyond discharge to the home setting.

Ulcers and Wounds Encountered in an Inpatient Setting

Results of previous wound treatments are documented.

The wound requires accelerated formation of granulation tissue that cannot be achieved by other available topical wound treatments (e.g., comorbidities that prevent healing) and.

Surgically created wound or traumatic wound:.

Leg elevation and ambulation have been encouraged or.

Compression bandages and/or garments have been consistently applied and.

Venous or arterial insufficiency ulcers:.

Appropriate foot care (i., visual inspection, appropriate footwear, etc.) or.Reduction in pressure on a foot ulcer has accomplished with appropriate modalities (i.e., saline wet-to-dry dressings debridement etc.) and.The individual has been on a comprehensive diabetic management program and.The individualвЂ™s moisture and incontinence have been appropriately managed or.The individual has used a support surface for pressure ulcers on the trunk or pelvis and.The individual has been on an appropriately turned and positioned schedule and.Chronic stage III or IV pressure ulcers:.Evaluation of and provision for adequate nutritional status or.Debridement of necrotic tissue if present and.Application of dressings to maintain a moist wound environment and.

#NEGATIVE PRESSURE WOUND THERAPY PROFESSIONAL#

Documentation in the individualвЂ™s medical record of evaluation, care and wound measurements by a licensed medical professional (i.e., physician, PA, CRNP, RN, LPN, RPT) and.All ulcers or wound types (i.e., surgically created, traumatic), must include ALLВ of the following therapeutic measures addressed, applied, or considered and ruled out prior to application of NPWT pumps/VAC:.Wound therapy program, as described below, (applicable to the type of wound) have been tried or considered and ruled out prior to application of NPWT pumps/VAC.Chronic, nonhealing stage III or IV pressure ulcer, neuropathic (e.g., diabetic) ulcer, venous or arterial insufficiency ulcer, or chronic ulcer of mixed etiology (i.e., present for at least 30 days) and.Ulcers and Wounds in the Outpatient Setting NPWT pumps/Vacuum Assisted Closure (VAC) for nonhealing wounds may be considered medically necessary when ANYВ of the following conditions are met:

Negative pressure wound therapy