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The FDA has approved Viscosupplementation as a device. Medicare is allowing this nonpharmacologic therapy.
Medicare Part A covers knee gel injections if administered during an inpatient hospital stay. Since the injections are primarily performed on an outpatient basis, they are covered by Medicare Part B. Medicare provides coverage for knee gel injections every six months, contingent upon medical necessity.
Medicare does not offer coverage for PRP in patients with osteoarthritis or other orthopedic conditions. However, there is one specific area where coverage may be granted. This is in cases where youre a diabetic and you have certain wounds that wont heal. There are strict requirements for this kind of case.
The cost of viscosupplementation injections ($200 - $350/treatment course) can limit their use. Viscosupplementation is not used in the management of inflammatory arthritis. How is viscosupplementation administered? Viscosupplementation agents are injected directly into a joint.
Viscosupplementation injections are currently only FDA-approved to treat arthritis of the knee. The FDA hasnt found enough evidence to recommend it for treating other joints. However, some healthcare providers do offer it as a treatment option, and some people do get gel injections in their other joints.