Electromagnetic Therapy for Wounds (for New Mexico Only)
UnitedHealthcare medical policy for the use of electromagnetic therapy (EMT/PEMF/PEMI) to treat wounds and ulcers, applicable only to New Mexico providers and members.
Supporting Information Updated Clinical Evidence and References sections to reflect the most current information
Coverage Determination
Coverage stance — Not medically necessary
Covered when ALL of the following are met:
Not medically necessary indications
- Examples of wound types considered not medically necessary: Arterial ulcers; Chronic pressure ulcers; Diabetic foot ulcers; Soft tissue injuries; Venous stasis ulcers
These specific indications are explicitly listed in the coverage rationale.
The FDA has not approved any electromagnetic devices specifically for the treatment of chronic wounds. Use of these devices for wound healing is an off-label indication. This information is provided for informational purposes only and does not by itself determine coverage.
Electromagnetic therapy for wound care is considered not medically necessary and unproven due to insufficient evidence of efficacy. This determination applies to treatment of wounds and ulcers including, but not limited to: arterial ulcers, chronic pressure ulcers, diabetic foot ulcers, soft tissue injuries, and venous stasis ulcers.
Coding and Billing
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