LCD guidance for skin substitutes

Applies to wound treatments, skin substitutes (non-porcine based)

Medicare does not have a National Coverage Determination (NCD) for non-porcine based skin substitutes. UnitedHealthcare has a Medicare Advantage Coverage Summary which explains our coverage criteria and incorporates Local Coverage Determinations (LCDs)/Local Coverage Articles (LCAs). As a reminder, services provided to UnitedHealthcare Medicare Advantage members in jurisdictions with LCDs/LCAs will only be considered medically necessary in those jurisdictions when consistent with the applicable LCDs/LCAs.

Please review state specific LCDs/LCAs in the table below:

Questions?

For additional information, refer to the UnitedHealthcare Medicare Advantage Coverage Summary.

PCA-1-24-01411-Clinical-NN_05142024