Conditions accepted by Medicare and insurance companies for reimbursement:
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Decompression sickness
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Air/Gas embolism
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CO poison
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Smoke inhalation
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Gas gangrene
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Crush injury
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Some acute traumatic ischemia
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Compartment syndrome
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Exceptional blood loss
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Selected problem wounds
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Thermal burns
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Necrotizing soft tissue infections
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Osteoradionecrosis
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Refractory Osteomyelitis
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Skin grafts and flaps (compromised)
Some of these conditions will only be covered in a hospital facility, as required by Medicare.
Conditions covered by medicare:
- 1. Acute carbon monoxide intoxication, (ICD-9 -CM diagnosis 986).
- 2. Decompression illness, (ICD-9-CM diagnosis 993.2, 993.3).
- 3. Gas embolism, (ICD-9-CM diagnosis 958.0, 999.1).
- 4. Gas gangrene, (ICD-9-CM diagnosis 0400).
- 5. Acute traumatic peripheral ischemia. HBO therapy is a valuable adjunctive treatment to be used
in combination with accepted standard therapeutic measures when loss
of function, limb, or life is threatened. (ICD-9-CM diagnosis 902.53,
903.01, 903.1, 904.0, 904.41.)
- 6. Crush injuries and suturing
of severed limbs. As in the previous conditions, HBO therapy would be
an adjunctive treatment when loss of function, limb, or life is threatened.
(ICD-9-CM diagnosis 927.00-927.03, 927.09-927.11, 927.20-927.21, 927.8-927.9,
928.00-928.01, 928.10-928.11, 928.20-928.21, 928.3, 928.8-928.9, 929.0,
929.9, 996.90- 996.99.)
- 7. Progressive necrotizing
infections (necrotizing fasciitis), (ICD-9-CM diagnosis 728.86).
- 8. Acute peripheral arterial
insufficiency, (ICD-9-CM diagnosis 444.21, 444.22, 444.81).
- 9. Preparation and preservation
of compromised skin grafts (not for primary management of wounds), (ICD-9CM
diagnosis 996.52; excludes artificial skin graft).
- 10. Chronic refractory
osteomyelitis, unresponsive to conventional medical and surgical management,
(ICD-9-CM diagnosis 730.10-730.19).
- 11. Osteoradionecrosis as
an adjunct to conventional treatment, (ICD-9-CM diagnosis 526.89).
- 12. Soft tissue radionecrosis
as an adjunct to conventional treatment, (ICD-9-CM diagnosis 990).
- 13. Cyanide poisoning, (ICD-9-CM
diagnosis 987.7, 989.0).
- 14. Actinomycosis, only
as an adjunct to conventional therapy when the disease process is refractory
to antibiotics and surgical treatment, (ICD-9-CM diagnosis 039.0-039.4,
039.8, 039.9).
All other conditions are not covered by the Medicare Program.
Research from around the world indicates that many conditions benefit from Hyperbaric Oxygen Therapy in conjunction with standard care, or when other measures have failed. In some instances, further double blind, controlled studies are indicated. However, many cases can be treated now and are well worth the try. The conditions listed below do not represent a recommendation for treatment by Hyperbaric Oxygen Therapy of Arizona. Every case is unique and each patient should to be evaluated by a physician. Here is a list of additional conditions that have been treated with encouraging results but are not usually covered by third party payers:
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Cerebral Palsy
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Closed Head Injuries
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Chronic Stroke
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Traumatic Brain Damage
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Partial Motor or Sensory Loss
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Migraine Headaches
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Trigeminal Neuralgia
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Post Surgical Repair
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Delayed Wound Healing
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Neurovascular Ulcers
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Vascular Disease
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Diabetic Ulcers
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Raynaud's Disease
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Burns
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Soft Tissue Swelling
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Edema
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Myocardial Circulation
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Lyme Disease
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Crohn's Disease
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Colitis
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Chronic Fatigue Syndrome
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Blast Injuries
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Crush Injuries
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Radiation Damage
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Bone Fractures
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Compromised Immune System
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White Blood Cell Stimulation and Activation
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Necrotizing Arachnoidism (Brown Recluse Spider)
If your condition is not listed on this page, Hyperbaric Oxygen Therapy may still be able to help you. Research continues world wide and some conditions not listed here could currently be under research. Call our staff to find out if your condition is being currently treated.
If you have a patient that needs hyperbaric services, or want more information, please contact us. We welcome the opportunity to consult with physicians and family about the benefits of Hyperbaric Oxygen Therapy.