Term
| Acute carbon monoxide intoxication |
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Definition
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Term
| (2) Decompression illness |
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Definition
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Definition
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Definition
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Term
| (5) Acute traumatic peripheral ischemia |
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Definition
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Definition
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Term
| (7) Progressive necrotizing infections |
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Definition
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Term
(8) Acute peripheral arterial insufficiency
(9) Preparation and preservation of compromised skin grafts
(10) Chronic refractory osteomyelitis
(11) Osteoradionecrosis (ORN)
(12) Soft tissue radionecrosis (STRN)
(13) Cyanide poisoning
(14) Actinomycosis |
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Definition
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Term
| (9) Preparation and preservation of compromised skin grafts |
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Definition
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Term
| (10) Chronic refractory osteomyelitis |
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Definition
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Term
| (11) Osteoradionecrosis (ORN) |
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Definition
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Term
| (12) Soft tissue radionecrosis (STRN) |
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Definition
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Term
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Definition
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Term
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Definition
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Term
| Hyperbaric Oxygen Therapy (HBOT) |
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Definition
| The standard definition of hyperbaric oxygen therapy is intermittent 100% oxygen breathing at greater than one absolute atmospheric pressure (1 ATA); however, the Undersea and Hyperbaric Medical Society (UHMS) reports that the pressurization should be 1.4 ATA or higher. Each treatment (or “dive”, an analogy relating to the pressurization) is generally between 60 and 120 minutes in length; and each patient will generally receive between 10 and 60 total sessions throughout the course of therapy. |
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Term
| Possible Side Effects of HBOT |
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Definition
| middle ear barotrauma and claustrophobia, which occur in 2 percent of treatments. Other mild side effects include sinus squeeze, serous otitis, reversible progressive myopia, and in about 1 per 10,000 treatments, pulmonary and neurologic manifestations of oxygen poisoning.4 Additional concerns have to do with safety related to the risk of fire created by the use of compressed oxygen. |
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Term
| What Records Need to be maintained for a CMS or OIG Audit |
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Definition
1. History and physical,
2. Substantiation of diagnosis for hyperbarics (e.g. lab work; photographs; operative notes; initial consult for hyperbarics; and, physician’s evaluations),
3. Substantiation of hyperbaric treatment (e.g. treatment logs; physician progress notes; and, technician progress notes),
4. Substantiation of medical necessity for hyperbarics (e.g. progress notes and evaluations), and
5. Discharge summary. |
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Term
| What are the two main HBOT Associations |
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Definition
ACHM - American College of Hyperbaric Medicine
UHMS - Undersea Hyperbaric Medical Society |
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Term
| Most commonly treated indications |
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Definition
Acute Peripheral Arterial Insufficiency
20.9%
Effects of Radiation (ORN and STRN)
15.1%
Preparation & Preservation of Skin Grafts
15.0%
Chronic Refractory Osteomyelitis
8.6%
Progressive Necrotizing Infections
4.0%
Gas Gangrene
1.3%
Decompression Sickness
0.8%
Carbon Monoxide Poisoning
0.6%
Acute Traumatic Peripheral Ischemia
0.2% |
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