Treatment of Decubitus Ulcers

Medicare covers hydrotherapy (whirlpool) for treatment of decubitus (pressure) ulcers when the treatment is reasonable and necessary. Several alternative treatments—including ultraviolet light, low intensity direct current, topical oxygen, and topical dressings with Balsam of Peru in castor oil—are explicitly listed as not covered due to unestablished safety and effectiveness. The policy does not specify documentation details or frequency limits, so claims should document medical necessity.

"Hydrotherapy (whirlpool) treatment for decubitus (pressure) ulcers is covered when the treatment is reasonable and necessary."

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