Yes. Medicare Part B covers medically necessary wound care — including evaluation, debridement, skin substitutes, and negative pressure wound therapy — when delivered by a licensed physician or nurse practitioner in the patient's home, assisted living community, or skilled nursing facility. The mobile delivery does not change coverage.
Medicare reimburses the clinical service using place-of-service codes for the home (POS 12), assisted living (POS 13), or skilled nursing facility (POS 31/32). Coverage applies to evaluation, sharp debridement, application of cellular and tissue-based products under LCD L35041, NPWT supplies, and ongoing follow-up — the same services covered in a wound clinic.
Routine foot care without a qualifying systemic condition, over-the-counter dressings purchased without a prescription, custodial dressing changes performed by family members, and services that fail LCD L35041 documentation requirements are not covered.
Medicare Advantage (Part C) plans must cover everything Original Medicare covers but typically require prior authorization for skin substitutes and may restrict you to in-network providers. Healix360 handles the prior authorization workflow for the patient.
Yes. Medicare Part B covers medically necessary wound care — including evaluation, debridement, skin substitutes, and negative pressure wound therapy — when delivered by a licensed physician or nurse practitioner in the patient's home, assisted living community, or skilled nursing facility. The mobile delivery does not change coverage.
Call 877-545-1300 or request a provider to begin care. Healix360 serves Southern California and Nevada and accepts Medicare Part B and most major insurance plans.