Is Hyperbaric Oxygen Therapy Covered by Medicare? Discover What You Need to Know
Explore how Medicare can support your hyperbaric oxygen therapy needs, including coverage criteria and cost insights.
Hyperbaric oxygen therapy (HBOT) involves breathing pure oxygen in a pressurized environment, enhancing your body's natural healing processes.
Medicare offers coverage for HBOT under specific medical conditions and guidelines.
Understanding Medicare Coverage for Hyperbaric Oxygen Therapy
Medicare Part B provides coverage for hyperbaric oxygen therapy when administered in a specialized chamber and if the patient meets certain medical criteria. Eligible conditions include:
- Decompression sickness
- Gas embolism
- Gas gangrene
- Severe carbon monoxide poisoning
- Acute traumatic peripheral ischemia
- Progressive necrotizing infections
- Crush injuries and reattachment of severed limbs
- Acute peripheral arterial insufficiency
- Preparation and maintenance of compromised skin grafts
- Cyanide poisoning
- Chronic refractory osteomyelitis unresponsive to standard treatments
- Soft tissue radionecrosis as a supplement to conventional therapy
- Osteoradionecrosis as an adjunct treatment
- Actinomycosis resistant to antibiotics and surgery, when combined with HBOT
Additionally, Medicare may cover HBOT for diabetic patients who meet all the following conditions:
- Diagnosis of type 1 or type 2 diabetes with a lower extremity wound
- Wound severity classified as Wagner grade III or higher
- Failure to respond to standard wound care therapies
What Are the Costs of Hyperbaric Oxygen Therapy Under Medicare?
Recent data from 2024 indicates that the average cost for a single HBOT session in 2022 was approximately $595.86. Treatment costs vary depending on the condition, with diabetic foot ulcers and radiation injury treatments ranging from $17,875.80 to $35,751.60, and crush injury treatments between $2,383.40 and $8,342.04. A typical course of 40 treatments may total around $23,834.40.
Under Medicare Part B, beneficiaries are generally responsible for 20% of the approved cost of therapy sessions after meeting the annual deductible, which is $257 for 2025.
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