Treatment Indications

The following guidelines specify which medical conditions are recognized by Medicare, Medicaid, and Private Insurance carriers as indications for Hyperbaric Treatment. These mandates are set forth by the [CMS] Centers for Medicare and Medicaid Services. Any medical conditions not included on this list are not eligible for Hyperbaric Therapy.

Hyperbaric Oxygen Therapy serves four primary functions:

  • It increases the concentration of dissolved oxygen in the blood, which enhances perfusion
  • It stimulates the formation of a collagen matrix so that new blood vessels may develop;
  • It replaces inert gas in the bloodstream with oxygen, which is then metabolized by the body; and
  • It works as a bactericide.

Program reimbursement for HBO therapy

  • Acute carbon monoxide intoxication;
  • Decompression illness;
  • Gas embolism;
  • Gas gangrene;
  • Acute traumatic peripheral ischemia;
  • Crush injuries and suturing of severed limbs;
  • Progressive necrotizing infections (necrotizing fasciitis);
  • Acute peripheral arterial insufficiency;
  • Preparation and preservation of compromised skin grafts;
  • Chronic refractory osteomyelitis, unresponsive to conventional medical and surgical management
  • Osteoradionecrosis as an adjunct to conventional treatment;
  • Soft tissue radionecrosis as an adjunct to conventional treatment;
  • Cyanide poisoning;
  • Actinomycosis, only as an adjunct to conventional therapy when the disease process is refractory to antibiotics and surgical treatment;
  • Diabetic wounds of the lower extremities in patients who meet the following three criteria:
  • Patient has type I or type II diabetes and has a lower extremity wound that is due to diabetes;
  • Patient has a wound classified as Wagner grade III or higher; and
  • Patient has failed an adequate course of standard wound therapy
LST Hospital Network
  • Westchester
  • Winthrop
  • Good Samaritan Hospital
  • Virtua
  • Health Alliance
  • NuHealth
  • Vassar Brothers
  • NewYork-Presbyterian
  • Long Island Community Hospital
  • Princeton Wound Care Center
  • HealthQuest
Partners And Affiliates
  • Undersea & Hyperbaric Mediacl Society
  • Nasa
  • Dan
  • ONR
  • Oxy-Mat
  • Usariem
  • National Board of Diving