Surgical Dressings and Exclusions and Limitations
Provider Type
- Physicians
- Participating Physician Groups (PPG)
- Hospitals
Surgical dressings are covered in accordance with Medicare Advantage (MA) guidelines and are limited to primary and secondary dressings medically necessary for treatment of a wound caused by, or treated by, a surgical procedure that has been performed by a physician or other health care professional. In addition, surgical dressings required after debridement of a wound are also covered, irrespective of the type of debridement, as long as the debridement was necessary and was performed by a health care professional acting within scope of licensure.
- Primary dressings are therapeutic or protective coverings applied directly to wounds or lesions either on the skin or caused by an opening to the skin
- Secondary dressing materials are items needed to secure primary dressings, such as adhesive tape, roll gauze, bandages, and disposable compression material