Medicare WISeR service

Application of Bioengineered Skin Substitutes to Lower Extremity Chronic Non-Healing Wounds / Wound Application of CTPs, Lower Extremities

WISeR review applies to listed diabetic-foot-ulcer and venous-leg-ulcer indications. Arizona and Washington are not currently active for this service because the Noridian JF LCD was withdrawn.

Documentation overview

Documentation categories to review

These categories summarize the approved criteria bundle. The note checker uses the selected state, clinical pathway and procedure details to apply the relevant criteria.

Core documentation

  • Baseline wound description
  • Wound characteristics and vascular assessment
  • Failed response to appropriate wound care
  • Resolved infection and prepared wound bed
  • Smoking assessment and cessation counseling
  • Product selection and application plan
  • Absence of exclusions
  • Concurrent management of the underlying systemic condition

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Educational use only

This page summarizes public CMS documentation criteria. It does not provide medical, legal or coding advice, determine Medicare coverage, predict prior-authorization outcomes, or replace clinical judgment. Coverage decisions are made by CMS and its contractors. Verify the effective policy for the patient’s date and place of service before relying on this summary.