Appendix E - National Coverage Determinations Manual / HYPERBARIC_OXYGEN_THERAPY

Why This Topic Matters

Coverage policy for hyperbaric oxygen therapy affects whether claims are payable and how medically necessary use is evaluated under Medicare. Understanding the covered versus noncovered categories helps support compliant documentation and claim review.

Article Sections

1. Hyperbaric Oxygen Therapy

   Introduces the Medicare coverage framework for hyperbaric oxygen therapy and the general definition used in the policy.

2. A. Covered Conditions

   Lists the general categories of conditions addressed as covered under the policy and includes related coverage context for diabetic wounds and other qualifying situations.

3. Noncovered Conditions

   Identifies conditions that are not covered under the Medicare program for this therapy and states the overall limitation on payment outside the listed covered indications.

4. C. Topical Application of Oxygen

   Explains the policy position on topical oxygen administration and its relationship to the broader hyperbaric oxygen therapy definition.