Support Surfaces

 Group 1: 

Alternating pressure pad w/ pump Dry pressure mattress Gel pressure overlay for mattress Air pressure mattress Water pressure mattress Gel pressure pad Air pressure overlay for mattress Water pressure overlay for mattress Dry pressure overlay for the mattress.
 Group 2: 

Low Air Loss Therapy Bed - powered Alternating pressure reducing mattress - powered Adv. pressure reducing overlay - non-powered Air overlay for mattress - powered Advanced pressure reducing mattress - non-powered

 The staging of pressure ulcers used in the Medicare Coverage criteria is as follows:

Stage 1: Non-blanchable erythema of intact skin
Stage 2: Partial thickness skin loss involving epidermis and/or dermis
Stage 3: Full thickness skin loss involving damage or necrosis of subcutaneous tissue that may extend down to, but through, underlying facia
Stage 4: Full thickness skin loss with extensive destruction, tissue necrosis or damage to muscle, bone or supporting structures.

Patients needing pressure reducing support surfaces should have a care plan which has been established by the patient's physician or home care nurse, and is documented in the patient's medical records, and generally include the following:

  • Education of patient and caregiver on the prevention and/or management of pressure ulcers
  • Regular assessment by a nurse, physician or other licensed health care practitioner
  • Appropriate turning and positioning
  • Appropriate wound care (for stage 2, 3, and 4 ulcers)
  • Appropriate management of moisture and incontinence
  • Nutritional assessment and intervention consistent with the overall care plan

Group 1 - Medicare Coverage Criteria

A group 1 mattress overlay or mattress is covered if the patient meets: