Exclusions and Limitations
Provider Type
- Physicians
- Participating Physician Groups (PPG)
(does not apply to HSP)
- Hospitals
Surgical dressings are therapeutic and protective coverings applied directly to lesions either on the skin or opening to the skin required as a result of a surgical procedures performed by a physician are primary dressings and are covered. Surgical dressings for outpatient surgery, with the exception of primary dressings, are not covered.