Patient has failed an adequate course of standard wound therapy.Patient has a wound classified as Wagner grade III or higher and.Patient has type I or type II diabetes and has a lower extremity wound that is due to diabetes.Diabetic wounds of the lower extremities in patients who meet the following three criteria:.Actinomycosis, only as an adjunct to conventional therapy when the disease process is refractory to antibiotics and surgical treatment,.Soft tissue radionecrosis as an adjunct to conventional treatment,.Osteoradionecrosis as an adjunct to conventional treatment,.Chronic refractory osteomyelitis, unresponsive to conventional medical and surgical management,.Preparation and preservation of compromised skin grafts (not for primary management of wounds),.Acute peripheral arterial insufficiency,.Progressive necrotizing infections (necrotizing fasciitis),.As in the previous conditions, HBO therapy would be an adjunctive treatment when loss of function, limb, or life is threatened. Crush injuries and suturing of severed limbs.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. Program reimbursement for HBO therapy will be limited to that which is administered in a chamber (including the one man unit) and is limited to the following conditions:
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