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Negative Pressure Wound Therapy - UHCprovider.com

Negative Pressure Wound Therapy Page 1 of 14 UnitedHealthcare Commercial Medical Policy Effective 05/01/2022 Proprietary Information of UnitedHealthcare. Copyright 2022 United HealthCare Services, Inc. UnitedHealthcare Commercial Medica l Policy Negative Pressure Wound Therapy Policy Number: 2022T0594F Effective Date: May 1, 2022 Instructions for Use Table of Contents Page Coverage Rationale .. 1 Documentation Requirements .. 2 Definitions .. 3 Applicable Codes .. 3 Description of Services .. 4 Clinical 4 Food and Drug 11 References .. 11 Policy History/Revision Information .. 14 Instructions for 14 Coverage Rationale Notes: The proven and medically necessary coverage statements in this policy apply to the use of Negative Pressure Wound Therapy (NPWT) in the outpatient setting. The unproven and not medically necessary coverage statements in this policy apply to all settings. NPWT, in an outpatient setting or upon discharge from an inpatient setting, is proven and medically necessary for treating individuals who have undergone a complete Wound Therapy program and meet indication-specific criteria as noted below.

Negative pressure wound therapy electrical pump, stationary or portable . Description of Services . Negative pressure wound therapy (NPWT), also referred to as vacuum-assis ted wound closure, is a treatment for acute and chronic wounds that uses the controlled application of subatmospheric pressure to the surface of a wound to remove exudate

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