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Questions You Should Know about Hyperbaric Chamber Therapy

Author: Ada

Mar. 10, 2025

25 0 0

Frequently asked questions about hyperbaric oxygen therapy

Basically, much of the technology and information that we currently use in clinical hyperbaric oxygen therapy was developed by the world's navies during World War Two as a result of the development of military divers ('frogmen') and underwater demolitions.

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In addition, many of the pioneers of hyperbaric medicine were from a military background, and many current practitioners became interested in hyperbaric medicine through diving-related experiences. Thus, this diving-related terminology continues to be used even though clinical hyperbaric practice has evolved away from it's underwater beginnings.

Yes, chambers are classified into two categories: monoplace and multiplace.

Monoplace chambers

Monoplace chambers are defined as a chamber that is designed to accommodate only one patient at a time. Generally, these consist of an acrylic tube with a door at one end through which the patient is inserted into the chamber. They can be compressed with either air or oxygen. These chambers have the advantage of needing less physical space, and tend to be less expensive to purchase, maintain, and staff. The disadvantages are that they allow only limited access to the patient and tend to restrict patient positioning.

Multiplace chambers

Multiplace chambers are designed to accommodate two or more patients. Some of these chambers are massive and can hold 20 or more people. Thus, they require a large physical space and significant infrastructure to operate, and can be very expensive to acquire, maintain, and staff. The advantages are that they allow for an inside attendant so full access to all patients is possible, which makes caring for very ill patients easier. Also, their size tends to minimize claustrophobia in susceptible patients.

Frequently Asked Questions About Hyperbaric Oxygen Therapy

In general, nothing can be taken into the monoplace unit. This uses a 100% oxygen environment, and is therefore strictly monitored. Take nothing into the chamber unless the item is cleared by the technician. In addition, personal care products ' skincare, lotion, makeup, deodorant, hair products, etc. ' should not be used before treatment. In general we recommend patients come for treatment just as they are fresh out of the shower. You will be provided 100% cotton scrubs to wear while in the chamber.

As with any treatment, side effects are possible. With hyperbaric oxygen therapy, however,  they are minimal. HBOT has been proven to be extremely safe, and the actual number of side effects are very small.

For more information, please visit Hyperbaric Chamber Therapy.

The most common problem is barotrauma to the ears and sinuses caused by pressure changes, similar to what you would experience in an ascending or descending airplane. We will teach you auto-inflationary techniques that promote adequate clearing of the ears during treatment. Decongestants may be helpful. This problem is temporary and resolves when the prescribed HBO treatment depth is reached. If you have ear pain or are unable to clear your ears, we have special earplugs that can help with this problem. In some cases, inserting myringotomy tubes or placing a small hole in the eardrum may be necessary before the treatment continues.

Does Medicare cover hyperbaric treatment charges?

Medicare Part B (Medical Insurance) may cover HBO therapy if you have one of these conditions:

  • Acute carbon monoxide intoxication
  • Decompression illness
  • Gas embolism
  • Gas gangrene
  • Acute traumatic peripheral ischemia
  • Crush injuries and suturing of severed limbs
  • Progressive necrotizing infections
  • Acute peripheral arterial insufficiency
  • Preparation and preservation of compromised skin grafts
  • Chronic refractory osteomyelitis, unresponsive to conventional medical and surgical management
  • Osteoradionecrosis as an adjunct to conventional treatment
  • Soft tissue radionecrosis as an adjunct to conventional treatment
  • Cyanide poisoning
  • Actinomycosis, only as an adjunct to conventional therapy when the disease process is refractory to antibiotics and surgical treatment
  • Diabetic wounds of the lower extremities if all of these apply:
    1. You have Type 1 or Type 2 diabetes and have a lower extremity wound that's due to diabetes.
    2. You have a wound classified as Wagner grade III or higher.
    3. You've failed an adequate course of standard wound therapy.

You pay 20% of the Medicare-approved amount, and the Part B deductible may apply.

You may need to get prior authorization for Medicare hyperbaric oxygen therapy coverage if these apply:

  • You get non-emergency HBO therapy.
  • You get the therapy from a facility in Illinois, Michigan, or New Jersey.

You or your facility may send a request for prior authorization to Medicare to cover the cost of hyperbaric oxygen therapy before you get these services. To do this, you must submit medical records to show that HBO therapy is medically necessary. A Medicare contractor will review the information. Medicare will cover these services if the contractor decides that the services are medically necessary. For more information, call us at 1-800-MEDICARE (1-800-633-).

This information was taken from the Medicare official website. Please visit them here to get the most up-to-date information. (Link to https://www.medicare.gov/coverage/hyperbaric-oxygen-hbo-therapy)

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