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Covered by Medicare and private insurance

Hyperbaric oxygen therapy for compromised skin grafts and flaps

A skin graft or surgical flap depends on a good blood supply to take. When a graft or flap is struggling, hyperbaric oxygen raises the oxygen available to the tissue while new blood vessels form, which can help save tissue that would otherwise be lost.

Request an evaluationPhysician referral info

Am I a candidate?

Hyperbaric oxygen is commonly used for compromised grafts and flaps in the following situations. Our team confirms candidacy during your evaluation.

  • You have had a skin graft or flap procedure.
  • Your surgeon has found signs that the graft or flap is threatened, such as poor color, poor blood flow or partial loss.
  • Or: your surgeon wants to prepare a recipient site with a poor blood supply before grafting.

Timing matters with a compromised graft or flap, so ask your surgeon to contact us as soon as a problem is suspected.

What treatment involves

90 minat pressure, ~2 hours total

Resting in a clear chamber, breathing 100% oxygen; plan on about two hours per visit.

5 daysper week

Consecutive weekdays at the location closest to you.

10–20sessions, typically

Your provider sets the plan with your surgeon.

We coordinate closely with your plastic or reconstructive surgeon, who continues to manage the graft or flap.

The evidence

Compromised grafts and flaps are an approved indication of the Undersea & Hyperbaric Medical Society and are covered under Medicare’s national coverage determination for hyperbaric oxygen therapy.

Questions patients ask about compromised grafts and flaps

How quickly should I start?

As soon as your surgeon recommends it. Starting early gives threatened tissue the best chance, so we prioritize these referrals.

Does my surgeon need to refer me?

Usually yes. Your surgeon is best placed to judge the graft or flap, and we work with them throughout treatment.

What will it cost me?

For covered indications, your cost is your plan's usual copay or coinsurance. We verify benefits and obtain prior authorization before you start, and tell you in writing what to expect.