Low Frequency, Non-Contact, Non-Thermal Ultrasound for Wound Care - Medicare Advantage

This Humana Medicare Advantage policy states that low-frequency, non-contact, non-thermal ultrasound (e.g., MIST Therapy, CPT 97610) for wound care is covered only when Medicare's reasonable and necessary criteria are met and in accordance with applicable NCDs/LCDs/LCAs for the member's jurisdiction. For jurisdictions without a local LCD (J6/JK, J15, JJ/JM), medical necessity is determined using LCD L35125; services not meeting the applicable criteria or excluded by regulation are not covered.

"Treatment of wounds using low-frequency, non-contact, non-thermal ultrasound (often referred to as MIST Therapy) when services are reasonable and necessary for diagnosis and treatment of illness or..."

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