Varying and even conflicting views are held by many segments of the medical profession. The information presented on these pages is intended to be educational in nature and is not intended as a basis for diagnosis for treatment. This information is current at the time of publication and distributed as a courtesy to the public. This is for information only, and not to be considered as medical advice. Please consult with your physician before considering any therapy protocol. We are not responsible for errors or omissions. ProHBO fully supports the F.D.A. for your full informed consent.
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Hyperbaric referrals are possible from
this reference list. |
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The Undersea and Hyperbaric Medical Society (UHMS)
www.uhms.org
The UHMS's purpose is to provide scientific information to protect the health of sport, military and commercial divers and to improve the scientific basis of hyperbaric oxygen therapy, promote sound treatment protocols and standards of practice and provide CME accreditation.
The American College of Hyperbaric Medicine (ACHM)
www.hyperbaricmedicine.org
The primary purpose of the College shall be to provide a medical specialty society for hyperbaric physicians.
The International Hyperbaric Medical Association (IHMA)
www.ihmaonline.org
The International Congress on Hyperbaric Medicine
www.ichm.net
UHMS
The following list of indications for hyperbaric oxygen therapy is accepted by the Undersea and Hyperbaric Medical Society (UHMS) and typically covered by insurance.
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| Air or gas embolism |
Enhancement of healing in selected problem wounds |
Delayed radiation injury (soft tissue and bony necrosis) |
| Carbon monoxide poisoning and CO poisoning complicated by cyanide poisoning |
Exceptional blood loss (anemia) |
Skin grafts and flaps (compromised) |
| Clostridal myositis and myonecrosis, (gas gangrene) |
Intracranial abscess, actinomycosis |
Thermal burns |
| Crush injury, compartment syndrome, and other acute traumatic ischemias |
Necrotizing soft tissue infections |
Actinomycosis |
| Decompression sickness |
Refractory osteomyelitis (Infected bone) |
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ACHM
The following list of indications for hyperbaric oxygen therapy is accepted by the American College of Hyperbaric Medicine (ACHM) and typically covered by insurance.
ACHM Indications |
| Acute carbon monoxide intoxication |
Acute peripheral arterial insufficiency ulcers |
Diabetic wounds* |
| Decompression illness |
Preparation and preservation of compromised skin grafts |
Venous stasis ulcers - recommended only if venous surgery, local wounds care, leg elevation, counter pressure support, and skin grafting fails* |
| Gas embolism |
Chronic refractory osteomyelitis, unresponsive to conventional medical and surgical management |
Decubitus ulcers - with underlying osteomyelitis - a compromised skin flap, or an infected wound* |
| Gas gangrene |
Osteoradionecrosis as an adjunct to conventional treatment |
Arterial insufficiency ulcers - which persist after reconstructive surgery has restored large vessel function* |
| Acute traumatic peripheral ischemia (when loss of limb function, limb, or life is threatened) |
Soft tissue radionecrosis as an adjunct to conventional treatment |
Necrotic wounds secondary to brown recluse spider bite* |
| Crush injuries and suturing of severed limbs (as in the previous conditions, HBO therapy would be an adjunctive treatment, when loss of function, limb, or life is threatened |
Cyanide poisoning |
* Not in all states |
| Meleney ulcers |
Actinomycosis, only as an adjunct to conventional therapy when the disease process is refractory to antibiotics and surgical treatment |
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The following list of indications for hyperbaric oxygen therapy is considered by the UHMS as off-label or investigational and is not usually reimbursable by insurance companies. However, many insurance companies may cover the costs of the physician consultation as well as pre- and post-treatment diagnostic test.
Traumatology |
| Soft tissue musculoskeletal injuries |
Closed head injury |
Compartmental syndrome |
Orthopedic Disorders |
| Fracture repair, delayed and non-union |
Sacroiliac Syndrome |
Degenerative Joint disease |
| Bone Grafts |
Osteoporosis |
Inflammatory arthritis |
| Aid to prosthesis rehabilitative care |
Post surgical instability |
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Neurological Disorders |
| Spinal Cord injury |
Cerebral Palsy, epilepsy due to hypoxia |
Candidas and fungal infections |
| Neurovascular compression |
Near hanging |
Spider bite |
| Peripheral nerve injury and neuropathies, demyelination |
Near drowning |
Flesh eating bacteria |
| Cerebral edema |
Parkinson’s disease |
Lyme disease |
| Migraine |
AIDS |
Mycoplasma |
| Headaches, Cluster |
Autistic disorders |
Mercury Poisoning |
| Vegetative coma |
RSD |
Chemical Poisoning/ Pesticide |
| Stroke |
TOS |
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| Multiple Sclerosis |
Hypoxic birth disorders |
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Auto Immune Related Disorders |
| Lupus |
Rheumatoid Arthritis |
Guillain-Barre syndrome |
| Fibromyalgia |
Scelodrema |
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| Chronic Fatigue Syndrome |
Silicone induced disorders |
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Cardiac Disorders |
| Aid to cardiac surgery and rehabilitation |
Heart attack, Myocardial ischemia |
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Plastic and Cosmetic Surgery |
| Pre and Post Surgery healing, reconstruction and cosmetic surgery |
Non- healing post surgery, reconstruction and cosmetic surgery |
Post surgical soft tissue infections |
Peripheral Vascular Disorders |
| Delayed wounds, recurrent ulcers an infections |
Acute and Chronic arterial insufficiency |
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Hematology |
| Acute and Chronic Anemia |
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Ophthalmology |
| Retintis Pigmentosa |
Macular degeneration |
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Otorhinolaryngology |
| Sudden deafness |
Acute acoustic Trauma |
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Gastrointestinal |
| Gastric and Duodenal Ulcers |
Crohn’s Disease |
Colitis |
Endocrine Disorders |
| Diabetes |
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General Health |
| Health Enhancement and Prevention |
Memory |
Anti-Aging |
Physician Referral — Procedure and Diagnosis Codes
Procedure and Diagnosis Codes from whichHyperbaric Referrals are Possible |
| Procedure Codes |
ICO - 9 Code |
| Mandibulectomy |
76.41 |
| Reattach Body Part |
84.2 |
| Amputation Revision |
84.3 |
| Revision, Pedicle Graft |
86.70-5 |
| Excision of Graft |
86.91 |
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| Condition Codes |
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| Actinomycosis |
039.0-4 |
| Gas Gangrene |
040.0 |
| Aspergillosis |
117.3 |
| Mucormycosis |
117.7 |
| Diabetic Wound/Ulcer |
250.7 |
| Retinal Vessel Occlusion |
362.30 |
| Central Vessel Occlusion |
362.31 |
| Raynaud's Disease |
443.0 |
| Buerger's Disease |
443.1 |
| Peripheral Vascular Disease |
443.9 |
| Arterial Ischemia |
444.21 |
| Arterial Ischemia |
444.22 |
| Arterial Insufficiency Ulcer |
447.2 |
| Venous Stasis Ulcer |
454.0 |
| Venous Stasis Ulcer |
454.2 |
| Osteomyelitis, Jaws |
526.4 |
| Mandibular Osteoradionecrosis |
526.89 |
| Radiation Cytitis |
595.82 |
| Fournier's Disease |
608.83 |
| Meleney's Ulcer |
686.09 |
| Decubitus Ulcer |
707.0 |
| Chronic Ulcer |
707.1 |
| Chronic Ulcer |
707.8 |
| Chronic Ulcer |
707.9 |
| Necrotizing Fasciitis |
729.4 |
| Chronic Osteomyelitis |
730.0-9 |
| Diabetic Gangrene |
785.4 |
| Traumatic Ischemia |
900-904 |
| Late Radiation Injury |
909.2 |
| Crush Injury |
927.0-9 |
| Crush Injury |
928.0-9 |
| Acute Thermal Burns |
940-949 |
| Gas Embolism |
958.0 |
| Compartment Syndrome |
958.8 |
| CO Poisoning |
986.0 |
| Cyanide Poisoning |
987.7 |
| Smoke Inhalation |
987.9 |
| Cyanide Poisoning |
989.0 |
| Venous (Brown Recluse Spider) Bites |
989.5 |
| Radiation Tissue Injury |
990.0 |
| Frostbite |
991.0-3 |
| Gas Embolism |
991.1 |
| Caisson Disease |
993.3 |
| Graft or Flap Complication |
996.52 |
| Gas Embolism |
996.7 |
| Reattachment Complication |
996.93 |
| Amputation Complication |
997.6 |
| Amputation Complication |
997.62 |
| Other Complications |
997.69 |
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