medically necessary

Hi All

All of the products below are considered "medically necessary" and evidence albeit early suggests that Polynovo`s synthetic BTM can replace them all. All are based on animal or human tissue as distinct from fully synthetic Polynovo product. Have checked them all.

http://www.anthem.com/medicalpolicies/policies/mp_pw_a053309.htm

Medically Necessary

Alloderm® is considered medically necessary for either of the following uses:

Surgical repair of complex abdominal wall wounds (e.g., due to infection, fascial defect, etc.); or
Breast reconstruction surgery.

Apligraf® is considered medically necessary for a total of five (5) applications for either of the following indications:

Venous insufficiency skin ulcers with all the following characteristics:
Chronic, non-infected, partial or full thickness ulcers due to venous insufficiency; AND
Standard therapeutic compression also in use; AND
At least one month of conventional ulcer therapy (such as standard dressing changes, and standard therapeutic compression) has been ineffective; OR
Diabetic foot ulcers with all the following characteristics:
Full-thickness neuropathic diabetic foot ulcers; AND
Extends through the dermis but without tendon, muscle, joint capsule, or bone exposure; AND
At least three weeks of conventional ulcer therapy (such as surgical debridement, complete off-loading and standard dressing changes) has been ineffective.

Dermagraft® is considered medically necessary when used for either of the following indications:

The treatment of full-thickness diabetic foot ulcers of greater than six weeks duration that extend through the dermis, but without tendon, muscle, joint capsule, or bone exposure; OR
When used on wounds with dystrophic epidermolysis bullosa.

Integra™ Bilayer Matrix Wound Dressing, an artificial skin substitute, is considered medically necessary in the post-excisional treatment of full-thickness or deep partial-thickness burns when autografting is not feasible due to the individual's weakened physiological condition or a lack of suitable healthy tissue.

OrCel™, a composite skin substitute, is considered medically necessary in children with recessive dystrophic epidermolysis bullosa who are undergoing reconstructive hand surgery.

TransCyte™, a biosynthetic skin substitute, is considered medically necessary as a temporary wound covering to treat second and third degree burns.

Strong buy up from buy!!