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Knowing the Novitas policy not sure about the other MACs, but this is taking right out if the current active LCD • Repeat use of surgical preparation services in conjunction with skin substitute application codes will be considered not reasonable and necessary. It is expected that each wound will require the use of appropriate wound preparation code at least once at initiation of care prior to placement of the skin substitute graft, So, at least Novitas expects it on first graft only.

ESWT for Novitas Medicare who covers the State of NJ does not cover ESWT (Extracorporeal Shock Wave Therapy) for various musculoskeletal conditions, including plantar fasciitis. This is because Medicare considers ESWT experimental or investigational and insufficient evidence of its effectiveness has been established. So, its is a cash service.