Coverage Criteria Group 2 Support Surface

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Medicare Policy Regarding Pressure Reducing Support ...

    https://www.cms.gov/Medicare/Medicare-Contracting/ContractorLearningResources/downloads/JA1014.pdf
    - A group 2 support surface is covered if the patient has a stage II pressure sore located on the trunk or pelvis, has been on a comprehensive pressure sore treatment program (which has included the use of an appropriate group 1 support surface for at least one month), and has sores which have worsened or remained the same over the past month.

Pressure Reducing Support Surfaces - Group 2 LCD and PA

    https://med.noridianmedicare.com/documents/2230703/7218263/PRSS+Group+2+LCD+and+PA
    meet the criteria for coverage of a group 2 support surface, and that adequate documentation exists in the medical record reflecting these conditions. Such documentation should not be submitted with a claim but should be available upon request. GENERAL A Detailed Written Order (DWO) must be received by the supplier before a claim is submitted.

Pressure Reducing Support Surfaces - Group 2

    https://www.northwoodinc.com/wp-content/uploads/2014/09/Pressure-Reducing-Support-Surfaces-Group-2.pdf
    Pressure Reducing Support Surfaces – Group 2 3. A surface designed to reduce friction and shear, and 4. Documented evidence to substantiate that the product is effective for the treatment of conditions described by the coverage criteria for group2 support surfaces, and 5. Can be placed directly on a hospital bed frame. Limitations: 1.

CG-DME-16 Pressure Reducing Support Surfaces – Groups 1, 2 & 3

    https://medicalpolicies.amerigroup.com/medicalpolicies/guidelines/gl_pw_a053642.htm
    Group 1 Support Surfaces (as defined in the Definition Section). Medically Necessary: Use of a group 1 mattress overlay or mattress is considered medically necessary if the individual meets:. Criterion 1, or Criterion 2 or 3 and at least one of criteria 4-7 . Completely immobile – that is, individual cannot make changes in body position without assistance

Group 2 Pressure Reducing Support Surface (PRSS) (DME …

    https://www.cgsmedicare.com/pdf/dme_checklists/grp2_support_surfaces_2018re.pdf
    clinical conditions which meet the criteria for coverage of a group 2 support surface, and that adequate documentation exists in the medical record reflecting these conditions. REMINDERS • All new rental series claims for the following Group 2 Support Surfaces with a date of

Lessons Learned: Group 2 Support Surfaces

    https://www.cgsmedicare.com/jc/pubs/news/2008/1008/cope8653.html
    Oct 21, 2008 · Medical Necessity Coverage Criteria. Group 2 support surfaces are not covered for decubitus ulcer prevention. They are also not covered if the only ulcers on the trunk or pelvis are stage I pressure ulcers or for any stage pressure ulcer that is …

PRESSURE REDUCING SUPPORT SURFACES

    https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medadv-guidelines/p/pressure-reducing-support-surfaces.pdf
    When a group 2 surface is covered following a myocutaneous flap or skin graft, coverage generally is limited to 60 days from the date of surgery. When the stated coverage criteria for a group 2 mattress or bed are not met, a claim will be denied as not reasonable and necessary.

Pressure Reducing Support Surfaces Clinical Review Criteria

    https://provider.ghc.org/all-sites/clinical/criteria/pdf/support_surfaces.pdf
    Group 2 Pressure Reducing Support Surfaces: Alternating Pressure and Low Air Loss Mattresses and Overlays A group 2 support surface is considered medically necessary DME if the member meets ONE of the following: A. ... not to be used as coverage criteria. Please only refer to the criteria listed above for coverage determinations.

Documentation Checklist - Pressure Reducing Support ...

    https://med.noridianmedicare.com/documents/2230703/6750839/Documentation+Checklist+-+Pressure+Reducing+Support+Surfaces+%28PRSS%29%20-+Group+2
    Documentation Checklist Pressure Reducing Support Surfaces (PRSS) - Group 2 The content of this document was prepared as an educational tool and is not intended to grant rights or impose obligations. Use of this document is not intended to take the …



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