A.) Does the patient have large or multiple stage III or Stage IV pressure ulcers on the trunk pelvis?
B.) Has the patient had a recent myocutaneous flap or skin graft and was the patient on a
Group 2/Group 3 support surface immediately prior to a recent discharge from a hospital.
C1.) Does the patient have multiple Stage II ulcers located on the trunk or pelvis?
C2.) Has the patient been on a comprehensive ulcer treatment program for at least the past month which has included the use of an appropriate Group I support surface?
C3.) Have the ulcers worsened or remained the same?
If the patient does nto meet any of the group II criteria, please see the Group I Support Surface Qualifying Help Sheet
If the answer was YES to scenario A., B., or C. your patient qualifies for
a Group II
Comfort Series APP from Tridien Medical.
*Note: If the patient has large or multiple Stage III or IV pressure sores, refer to Group II Support
Surface Qualifiying Help Sheet.
DISCLAIMER: THIS REIMBURSEMENT IS FOR REFERENCE ONLY. PLEASE CONTACT YOUR
REGIONAL CARRIER FOR FUTHER REIMBURESEMENT CRITERIA.