About this policy
Jurisdiction: JJ Part B. States: Alabama, Georgia, Tennessee. Type: Active LCD
Coverage indications
This is a NON-coverage policy for non-contact near-infrared spectroscopy use in acute or chronic wound assessment and management and for use in flap or micro-flap assessment intra- or post-operatively.
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.