Wound care (L37166): Medicare Part A/B local coverage determination (LCD) comment summary

The LCD permits NPWT (including disposable and durable-device delivery) and wound debridement when medically reasonable and necessary for appropriately selected patients, and recognizes wet-to-dry/dry-to-dry dressings as acceptable when clinically indicated. Experimental or investigational wound care methods are not covered; unusually excessive utilization (debridements >8 in 360 days or NPWT >6 in four months) requires meticulous documentation and may be subject to pre- or post-payment review. Photographic and initial pathology documentation are recommended as best practices, coding guidance will be issued separately, and dressing changes alone generally do not require physician-level skills.

"Negative pressure wound therapy (NPWT), including NPWT delivered via durable medical equipment (DME) or non-durable/disposable devices (CPT 97607, 97608), may be covered for appropriately selected ..."