Payer PolicyActive
Low-Frequency, Noncontact, Nonthermal Ultrasound for Wound Care - MEDICAID - LOUISIANA
HUMANA-LOW-FREQUENCY-NONCONTACT-NONTHERMAL-ULTRASOUND-FOR-WOUND-CARE-LA-MEDICAID
Humana
Effective: December 8, 2025
Updated: December 12, 2025
Policy Summary
Humana Louisiana Medicaid policy LA.CLI.082 states that low-frequency, noncontact, nonthermal ultrasound for wound care is not covered and is considered experimental/investigational. The policy explicitly notes there are no covered indications and that listed procedure codes are informational only and do not guarantee coverage.
Coverage Criteria Preview
Key requirements from the full policy
"There are no covered indications; low-frequency, noncontact, nonthermal ultrasound for wound care is NOT covered under this Plan."
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