Healthcare Providers retain responsibility to submit complete and accurate documentation. Guidelines Hyperbaric oxygen therapy will be limited to that which is administered in a chamber (including the one man unit) and is limited to the following conditions: Acute carbon monoxide intoxication, Osteoradionecrosis as an adjunct to conventional treatment, Hyperbaric Oxygen (HBO) Therapy Services Documentation Requirements It is expected that patient's medical records reflect the need for care/services provided. Hyperbaric Oxygen Therapy (HBO Therapy) Coding Guidelines. This association requested WPS modify this LCD by deleting the Program reimbursement for HBO is limited to services administered in a chamber. Comment . An LCD on hyperbaric oxygen therapy should contain: limitations of coverage; a list of covered conditions and their appropriate diagnosis codes; and documentation requirements. Hyperbaric Oxygen (HBO) therapy is a modality covered under Medicare in which the entire body is exposed to oxygen under increased atmospheric pressure. Payment to Critical Access Hospitals (electing Method I) is made under cost reimbursement. Hyperbaric oxygen therapy causes both This checklist is intended to provide Healthcare providers with a reference for use when responding to Medical Documentation Requests for Hyperbaric Oxygen Therapy (HBO) services. For Critical Access Hospitals (CAHs) electing Method I, HBO therapy is reported under revenue code 940 along with HCPCS codes 99183. The listing of … Medical Necessity Guidelines: Hyperbaric Oxygen Treatment Effective: June 17, 2020 Prior Authorization Required ... Hyperbaric oxygen therapy is the inhalation of 100 percent oxygen inside a hyperbaric oxygen chamber that is pressurized to greater than one atmosphere. On this page, view the following related information: Coverage; Noncovered Conditions; Documentation Requirements An association stated WPS Medicare’s Physician Credentialing Requirements are not clinically supported and directly conflict with CMS’ requirements and The Joint Commission Standards. Final Comments for Hyperbaric Oxygen (HBO) Therapy (PHYS-056) DL31357. Checklist: Hyperbaric Oxygen Therapy (HBO) Documentation.