Traditional MedicareCoverageMedium impact
Hyperbaric Oxygen Therapy
Medicare/CMS - NCD·Wound Care, General Surgery, Vascular Surgery·National Coverage Determination
We identified it
Oct 27, 2026
Summary
National Coverage Determination 20.29 for Hyperbaric Oxygen Therapy was updated on 2026-10-26. The source document does not provide specific policy content, billing codes, coverage changes, or effective dates beyond the last update date. The billing team should access the full policy text at the CMS Medicare Coverage Database to determine current coverage criteria, covered indications, billing codes, and any prior authorization requirements.
Action Required
Billing team should review the complete National Coverage Determination 20.29 policy at https://www.cms.gov/medicare-coverage-database/data/ncd?ncdid=12&ncdver=4 to identify: (1) specific CPT or HCPCS codes for hyperbaric oxygen therapy covered under Medicare, (2) covered indications and medical necessity criteria, (3) any prior authorization requirements, and (4) whether the 2026-10-26 update modified previous coverage or billing guidance. Confirm current applicability of any changes and update billing workflows and documentation requirements accordingly. Document the policy version reviewed in compliance files.