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HYPERBARIC OXYGEN THERAPY (NCD 20.29)

HYPERBARIC OXYGEN THERAPY (NCD ) Page 1 of 5 UnitedHealthcare Medicare Advantage Policy Guideline Approved 11/13/2019 Proprietary Information of UnitedHealthcare. Copyright 2019 United HealthCare Services, Inc. HYPERBARIC OXYGEN THERAPY (NCD ) Guideline Number: Approval Date: November 13, 2019 Table of Contents Page POLICY SUMMARY .. 1 APPLICABLE CODES .. 2 PURPOSE .. 3 REFERENCES .. 3 GUIDELINE HISTORY/REVISION INFORMATION .. 5 TERMS AND CONDITIONS .. 5 POLICY SUMMARY Overview HYPERBARIC OXYGEN (HBO) THERAPY is a modality in which the entire body is exposed to OXYGEN under increased atmospheric pressure.

Hyperbaric Oxygen Therapy (NCD 20.29) Page 1 of 5 UnitedHealthcare Medicare Advantage Policy Guideline Approved 02/13/2019 Proprietary Information of UnitedHealthcare.

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  Therapy, Oxygen, Hyperbaric, Oxygen therapy hyperbaric

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