CMSNational Coverage Determination (NCD)

Porcine Skin and Gradient Pressure Dressings Form

Chat with GenHealth to automate any policy or prior auth task.


Porcine Skin Dressings

Indications

(147363) Is the porcine skin dressing being used as an occlusive dressing for burns? 
(147364) Is the porcine skin dressing being used on the donor sites of a homograft? 
(147365) Is the porcine skin dressing being used for decubiti and other ulcers? 

Gradient Pressure Dressings

Indications

(147366) Is the gradient pressure dressing being used to reduce hypertrophic scarring following burn injury? 
(147367) Is the gradient pressure dressing being used to prevent joint contractures following burn injury? 

Effective Date

01/01/2066

Last Reviewed

NA

Original Document

  Reference



Porcine (pig) skin dressings are covered, if reasonable and necessary for the individual patient as an occlusive dressing for burns, donor sites of a homograft, and decubiti and other ulcers.

Gradient pressure dressings are Jobst elasticized heavy duty dressings used to reduce hypertrophic scarring and joint contractures following burn injury. They are covered when used for that purpose.

Book a walkthrough

Walk through this policy with us

Review how this policy can be converted into cited criteria, prior authorization checks, and operational automation.