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25.3.3.26 Hyperbaric Oxygen Therapy (HBO)
HBO is a type of therapy that is intended to increase the environmental oxygen pressure to promote the movement of oxygen from the environment into the body tissues by means of pressurization that is greater than atmospheric pressure. Such treatment is performed in specially constructed hyperbaric chambers, which may hold one or several patients.
Note: Although oxygen may be administered by mask, cannula, or tube in addition to the hyperbaric treatment, the use of oxygen by mask, etc., or applied topically is not considered hyperbaric treatment in itself.
HBO will be limited to one session per day, any provider using procedure code 1-99183.
Outpatient hospital clinics and hospital-based rural health centers must use revenue code B-413, Respiratory services, HBO, (quantity of one) for reimbursement of the technical component.
The FDA-approved indications for the hyperbaric oxygen chamber (therapy) in accordance with the guidelines established by the Undersea and Hyperbaric Medical Society are as follows:
• Air or gas embolism.
•Carbon monoxide/smoke inhalation.
•Compromised skin grafts and flaps.
•Crush injuries/acute traumatic ischemias.
•Decompression sickness.
•Enhanced healing in selected problem wounds.
•Exceptional blood loss (anemia).
•Gas gangrene (clostridial myonecrosis).
•Intracranial abscess.
•Necrotizing soft tissue infections.
•Radiation tissue damage (osteoradionecrosis).
•Refractory osteomyelitis.
•Thermal burns.
When requesting reimbursement of HBO for the treatment of air or gas embolism the following diagnosis codes should be used:
When requesting reimbursement of HBO for the treatment of carbon monoxide/smoke inhalation use diagnosis code 986.
When requesting reimbursement of HBO for the treatment of compromised skin grafts and flaps the following diagnosis codes should be used:
When requesting reimbursement of HBO for the treatment of crush injuries/acute traumatic ischemias the following diagnosis codes should be used:
When requesting reimbursement of HBO for the treatment of decompression sickness use diagnosis code 9933.
When requesting reimbursement of HBO for the treatment of enhanced healing in selected problem wounds the following diagnosis codes should be used:
When requesting reimbursement of HBO for the treatment of exceptional blood loss (anemia) the following diagnosis codes should be used:
When requesting reimbursement of HBO for the treatment of gas gangrene (clostridial myonecrosis) diagnosis codes 0383 and 0400 should be used.
When requesting reimbursement of HBO for the treatment of necrotizing soft tissue infections diagnosis codes 72886 and 7854 should be used.
When requesting reimbursement of HBO for the treatment of radiation tissue damage (osteoradionecrisis) the following diagnosis codes should be used:
When requesting reimbursement of HBO for the treatment of refractory osteomyelitis the following diagnosis codes should be used:
When requesting reimbursement of HBO for the treatment of thermal burns the following diagnosis codes should be used:
HBO that exceeds one session per day, any provider will be denied.
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