Services
 

Services Provided Within the Clinic:

• Physician and nursing assessment, evaluation, and treatment plan development
• Consultation with referring physician regarding medical management, treatment plan and referrals as needed
• Consultation and referral to specialty physicians
• Wound cleansing conservative sharp wound debridement, as indicated, and dressing changes
• IV antibiotics and laboratory studies
• Patient and caregiver education
• Off-loading, pressure relief

Wound Care Services Available as Needed:

Adjunctive Therapies

• Hyperbaric Oxygen Therapy
• Compression Therapy
• Growth Factor Therapy
• Bioengineered Skin Equivalents
• Negative Pressure Therapy (Wound Vac)
• Total Contact Casting (Referral)
• Lymphedema Therapy (Referral)
• Whirlpool (Referral)
• Critical Care/Hospital Admission

Collaborative Service Support

• Diabetes Treatment Center
• Medical Social Service
• Disease Management Program
• Older Adult Services
• Mental Health Counseling
• Nutritional Counseling Services
• Pain Management Services

Wound Care & Hyperbaric Medicine also offers hyperbaric oxygen therapy and wound care management for these accepted conditions:

Hyperbaric Oxygen Therapy
(conditions covered by
Medicare 04/01/03)

1. Chronic refractory osteomyelitis (DX 730.10-730.19) requires radiological evidence and bone culture.

2. Osteoradionecrosis (DX 526.89).

3. Soft tissue radionecrosis (DX 990).

4. Preparation and preservation of compromised skin grafts (DX 996.52) requires documentation of previous graft failure or other evidence of likely failure of current graft.

5. Progressive necrotizing infections (necrotizing fasciitis) DX 728.86, 686.01, 686.09) include pyodermas, Meleney's ulcer. Requires lab confirmation of infection, but patient can have 2-3 dives prior to lab results being received if physician orders.

6. Acute peripheral arterial insufficiency (DX 444.21, 444.22) requires evidence of condition including noninvasive or invasive arterial testing.

7. Acute carbon monoxide intoxication (DX 986).

8. Decompression illness (DX 993.3).

9. Gas embolism (DX 958.0).

10. Gas gangrene (DX 040.0) Requires lab confirmation of infection, but patient can have 2-3 dives prior to lab results being received if physician orders.

11. Cyanide poisoning (DX 987.7 or 989.0).

12. Crush injuries and suture (reattachment) of severed limbs (DX 927 and 928 series, 929 series, 996 series).

13. Acute traumatic peripheral ischemia (DX 902.53, 903.01, 903.01, 904.0, 904.41).

14. Actinomycosis (DX 039.04).

*Note:
Medicare will review any HBO course of treatment extending beyond two months for medical necessity.

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