are hyperbaric treatments covered
Hyperbaric Oxygen Therapy (HBOT) is used to treat a wide range of conditions. There are currently fourteen conditions treatable with hyperbaric oxygen therapy that are recognized by the Undersea and Hyperbaric Medical Society and the FDA. However, there are numerous other conditions that are documented with scientific evidence that are not currently FDA approved. All non-emergent hyperbaric oxygen therapy claims in the states of Illinois and New Jersey with a date of service on or after August 1, 2015 must complete the prior authorization process or the claims will be subjected to prepayment review. Questions can be sent to: HBOPA@cms.hhs.gov. The Centers for Medicare & Medicaid Services (CMS) has implemented a prior authorization model for non-emergent hyperbaric oxygen therapy in Illinois, Michigan, and New Jersey. CMS is testing whether prior authorization helps reduce expenditures, while maintaining or improving quality of care. The following is a list of the conditions that are FDA approved for treatment with hyperbaric therapy. These conditions are typically reimbursed by insurance and include: 1  Non Healing Wounds (Arterial Insufficiency)  Bone Infection (Osteomyelitis) The following is a list of many conditions with documented benefit from hyperbaric oxygen therapy but not approved by the FDA and therefore referred to as “off-label”. This means that your insurance will not cover the cost and you will have to pay out of pocket for treatment. The equipment required for hyperbaric oxygen treatment consists of a pressure chamber, which may be of rigid or flexible construction, and a means of delivering 100% oxygen. Operation is performed to a predetermined schedule by trained personnel who monitor the patient and may adjust the schedule as required. The following is a list of the conditions that are FDA approved for treatment with hyperbaric therapy. These conditions are typically reimbursed by insurance and include: Non Healing Wounds (Arterial Insufficiency) Hyperbaric medicine is medical treatment in which an ambient pressure greater than sea level atmospheric pressure is a necessary component. Hyperbaric oxygen therapy is a well-established treatment for decompression sickness, a hazard of scuba diving. Other conditions treated with hyperbaric oxygen therapy include serious infections, bubbles of air in your blood vessels, and wounds that won't heal as a result of diabetes or radiation injury. In a hyperbaric oxygen therapy chamber, the air pressure is increased to three times higher than normal air pressure. Under these conditions, your lungs can gather more oxygen than would be possible breathing pure oxygen at normal air pressure. Your blood carries this oxygen throughout your body. All non-emergent hyperbaric oxygen therapy claims in the state of Michigan with a date of service on or after April 13, 2015 must have completed the prior authorization process or the claims will be subjected to prepayment review.
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