LCDActive
Near-Infrared Spectroscopy in Wound and Flap Management
L39385
Effective: February 12, 2023
Updated: December 31, 2025
Policy Summary
This policy does not cover use of non-contact near-infrared spectroscopy (NIRS) for acute or chronic wound assessment and management. It also does not cover NIRS for intraoperative or postoperative assessment of flaps or micro-flaps.
Coverage Criteria Preview
Key requirements from the full policy
"Non-contact near-infrared spectroscopy (NIRS) is not covered for assessment and management of acute wounds."
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Covered Medical Codes