For CPT code 29581 for multilayer compression, I am having trouble finding what qualifies. If a gauze wrap followed by an ACE bandage or coban are applied, is that considered multilayer compression?
In cases where a wound is initially classified under an "A" code (e.g., S31.114A – Laceration without foreign body of abdominal wall, left lower quadrant), should the etiology and corresponding ICD-10...
I called Medicare and they stated all high dollar claims need medical review, Has anyone came across this and what was the outcome.
Our wound clinic at a critical access hospital is looking to develop a pressure injury prevention policy within the OR for higher risk patients. I am looking for EBP on prevention for high risk patien...
4/15/25 by
CRHC Wound,
We currently have (1) patient who meets criteria for HBO Therapy under CROM and another we are working up. Both of these individuals are incarcerated in a Medium Security Detention Center. One of our ...
We have a patient with a tibia non union, osteomyelitis who has a Taylor Spatial fixator. Reviewing the product monograph it indicates some titanium in the pins. The rest is stainless steel . Can it ...
Hello,
I reviewed the wagner scale and need clarification. If the heel has eschar what grade do you classify considering you do not know what is under the eschar ( or slough)? Woul...
I am adding a 25 modifier to cpt codes 99344 and 99349 when billed with 11042 but Medicare denied stating non covered when billed with 12 pos ( home wound care)
Hi,
What are the parameters for clearing a patient with a spinal cord stimulator? Staff will be obtaining ID card and manufacturer in order to verify specific manufacturer limitations for the maxim...
Pt had amputation 2 years ago and recently developed acute infection and draining wound. MRI and inflam. markers = dx with Acute Osteomyelitis 10cm of tibia involved. On antibiotics, local debridemen...
Hello, I know the importance of good wound pics, ie; before/after debridement, skin sub, etc...but what exactly should be in the photo?
1. a ruler? is this put near the wound or on the wound
2. nam...
Graft manufactures are telling our providers that it is now necessary to list sq cm waste with appropriate modifier even if you use the waste in the wound. Example would be 1 sq cm cut from graft is t...
What do you recommend for labeling blankets, scrubs, pillowcases, and sheets used in a mono-chamber? Are there specific materials or labeling methods that are approved for use in the chamber to ensur...
We have a pt with suspected Pyoderma, initially responsive to oral steroids, but intolerant due to swelling. Have also been using topical steroids. I'm looking for advice on when and how (dose, medi...
What to do now? Current tx with polymem over bone site
inter-web lt lateral 4th proximal phalanx ulceration present since 9/10/24. Bilateral foot deformities managed per podiatrist.
3/2023 arter...
Hi,
Is it possible to qualify a patient for HBOT with pre-diabetes and a foot ulcer with PAD who is not a candidate for revascularization?
Thanks.
How am I able to find the SDS on a product? I am new to this website and still learning how to use it. I am in Hyperbaric and we are not attached to a wound clinic, but inside the hospital tucked aw...
I know Dermabond is flammable when wet however is it ok to put in if applied in surgery and dried x2 days?
Been doing daily wound cleaning and dressing changes since Dec. 24, 2024. Wound has been present for 10 months. Any suggestions on healing? Patient is allergic to silver, and all other heavy metals.
Silver nitrate when applied, will achieve its hemostatic effect- can we bill for this? I am only seeing for use with proud flesh.
What are other people using for IV poles in multi-place chambers since there are no FDA approved IV poles anymore? Any model or brand recommendations? We also need to replace our vital sign monitors, ...
Treat wound with tendon exposure?
I had a tummy tuck about 6 weeks ago. All has went well except my bellybutton and the "T" area where stomach meets mons has an opening, and white slough that is just hard to remove. (I've been on anti...
Have a 44 yr man coming for transverse myelitis (T 7-8) and severe deafness since about aug/24 from radiation to head and lung/spine for lung cancer in mid 2023. Has cochlear implant. Is there a way ...
54 yr lady who had lots of radiation for cervical cancer 10 yr ago. Had HBOT 8 yr ago, about 40 trx. Has severe symptoms and bladder changes. Getting full treatment by urologist. I was thinking of doi...
Does anyone know how to incorporate the use of RPM devices for wound care patients in their homes. Is there special documentation that needs to go along with this?
Patient presented into clinic with pressure injury to an area of all scar tissue. How to stage pressure injuries in 100% scar tissue.
Patient is a 45yo M. S/p I&D on 12/29 due to Fournier’s gangrene. Patient was on multiple IV antibiotics. Current WC orders by general surgery is wet to dry dressing. There is moderate amount of drain...
Hello,
Is it permissable to allow patients in hbo with dentures or is it too much of a chocking hazard? Some prefer not to for better communication. Thanks
Patient has chronic venous insufficiency, discharged back in March 2024, lost to follow up then came back for recurrence of LLL venous ulcer due to trauma. Does not look open to me. Any advice?
12/29/24 by
Guest User,
What do people do for patients who have; glaucoma, diabetic retinopathy (proliferative or non), age related macular degeneration,(wet or dry), etc and those who are taking Vascular endothelial growt...
Additionally, patient has a wound on right 2nd toe, and MRI results are positive for acute osteomyelitis. Patient was treated with antibiotics and had toe amputated. Is there any contraindications fo...
67 YO female patient with primary colorectal CA treated with surgery, chemotherapy and radiation. Developed coccygeal abscess and subsequent large, non-healing soft tissue defect/ wound due to late ef...
Patient 89 y/o bedbound, currently receiving care for right buttock wound of 3+months. Patient's PCP recently started on wound vac therapy last week and reports decrease in size already. Due to wound ...
12/13/24 by
DMC,
75 yo M with large fungating penile mass has been present for years but patient has previously declined treatment or evaluation went to the clinic today for worsening constipation and pain. His clinic...
Hi, can you direct me to a resource regarding maintaining the consistency of HBOT (particularly for ORN patients) versus titrating treatments down to 2 times per week from 5 days per week? Thank you!
Have been treating pt in HBO for CRO. Recently hospitalized for cellulitis and was taken to OR by Podiatrist with Bone Bx of 1st, 3rd, and 5th Metatarsal Right Foot. Prolene Sutures 3-0 and 1-0 applie...
Thank you for your guidance regarding dermal product approved list and indications. We do have the approved CMS list for VLU and DFU. Do you know if there is an option to apply dermal products not on ...
Patient was previously admitted with the same sacral wound. We have ordered for the application of iodosorb for the slough at this time but would like to see receive your recommendations.
What are the points and counter-points of comparing patient outcomes for using skin grafts versus HBO to treat non-healing wounds about the knee.
Good evening,
Where would I be able to locate literature evidence on whether or not utilizing sterile technique/sterile gloves for sharp debridement and wound dressings decreases incidence of wound ...
I am new at this. Can Aquacel Ag+, ribbon, sheets, etc go into a monoplace hyperbaric chamber.? The risk assessment tool gave it a #3, "high risk" and the ribbon was almost a #4. Not sure why. Plus th...
Hi! We have a maxillofacial surgeon's office that regularly sees patients with medication-related osteonecrosis of the jaw. They rarely start off with IV antibiotic treatment. The usual coarse is ma...
Patient with type 2 DM required a BKA with a history of Wagner 4 DFU prior. Developed eschar at the amputation site and was sent to vascular surgery, with further revascularization attempts made. He i...
11/15/24 by
Bill Khoury,
What protocols are out there for comfort care/palliative patients for the inpatient acute care setting?
Are there care-plans that are designed for comfort care/palliative care patients in the acute c...
Is there evidence that HBOT can help mental health? Specifically, depression and anxiety?
I'm looking for ideas and information on how to handle wound cleansers/dressings in the hospital outpatient department.
Do you have single use wound cleanser? Or do you keep one bottle and wipe it ...
A patient was referred back to HBOT in June 2024 by her maxillofacial surgeon and has completed 78 treatments since that time. Recent maxillofacial surgeon note states now stage 2. Surgeon continues t...
Hello! I have an 88-year-old male who is hoping to receive HBO TX. He had a Toria intraocular lens implanted in February 2024 to correct cataracts. Can you please help me to know if this lens is compa...
Is there a case study on the hbo effects on treating PTSD
11/5/24 by
Jay Braun,
