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Negative-Pressure Wound Therapy Medical Policy Revision

Effective October 15, 2014, Horizon Blue Cross Blue Shield of New Jersey will change the way we consider claims for negative-pressure wound therapy.

Based on our guidelines of the revised medical policy, Negative-Pressure Wound Therapy, claims that include HCPCS codes G0456 and G0457 for dates of service October 15, 2014 and after will pend while information to determine medical necessity of these services is requested and reviewed.

This medical policy is available in our online Medical Policy Manual.

Unless Horizon BCBSNJ gives written notice that all or part of the above changes have been cancelled or postponed, the changes will be applied to claims for dates of service October 15, 2014 and after.

Published on: July 17, 2014, 01:09 a.m. ET
Last updated on: November 24, 2020, 23:21 p.m. ET