Current Indications

Current Hyperbaric Oxygen Therapy Indications

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(860) 714-3010 

Monday through Friday
7:30AM - 4PM

The Center for Advanced Wound Healing and Hyperbaric Medicine
at Saint Francis

500 Blue Hills Avenue
Hartford, Connecticut 06112
(860) 714-3010
Fax: (860) 714-8592

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When treated in a hyperbaric chamber such as those used in our center, these are the indications which meet the selection criteria to qualify for reimbursement under current CMS guidelines. Usually these guidelines are also followed by commercial carriers. The list below identifies those indications we currently treat in our center: 

Diabetic wounds of the lower extremities in patients who meet the following three criteria: 

  • Patient has type I or type II diabetes and has a lower extremity wound that is due to diabetes. 
  • Patient has a wound classified as Wagner Grade III or higher; and 
  • Patient has failed an adequate course of standard wound therapy 

The use of HBO therapy will be covered as adjunctive therapy only after there are no measurable signs of healing for at least 30 days of treatment with standard wound therapy, and must be used in addition to standard wound care.  

Chronic Refractory Osteomyelitis as an adjunct to conventional medical and surgical management 

Preservation of compromised skin grafts or flaps. This indication is not for primary management of wounds, and excludes artificial skin grafts. 

Soft tissue radionecrosis (Late Effects of Radiation) as an adjunct to conventional treatment, including radiation proctitis, cystitis, and enteritis 

Osteoradionecrosis as an adjunct to conventional management 

Actinomycosis, only as an adjunct to conventional therapy when the disease process is refractory to antibiotics and surgical treatment  

Inpatient Program -- Under Development

Inpatient program is in development. The list below identifies those indications we will treat when inpatient program is established, as well as the indications listed above: 

Acute carbon monoxide intoxication 

Cyanide poisoning 

Decompression illness 

Gas embolism 

Progressive necrotizing infections (necrotizing fasciitis, Meleney’s ulcer) 

Gas gangrene  

Crush injuries and suturing of severed limbs. HBO therapy is a valuable adjunctive therapy when loss of function, limb, or life is threatened. 

Acute traumatic peripheral ischemia. HBO therapy is a valuable adjunctive treatment to be used in combination with accepted standard therapeutic measures when loss of function, limb, or life is threatened  

Acute peripheral arterial insufficiency