Pressure reducing support surfaces are a type of medical equipment used for the care of pressure sores, also known as pressure ulcers or injuries. Pressure ulcers are lesions caused by constant pressure on areas in contact with the mattress, resulting in damage of skin and deep tissues.
Some pressure reducing mattresses are powered by electricity and others, like the non-powered advanced pressure reducing mattresses, are not. They replace a standard hospital or home mattress and are placed on a hospital bed frame. Non-powered advanced pressure reducing mattresses have a surface designed to reduce friction and shear, and are made of foam, air, gel and other materials. They are indicated for persons with deeper pressure ulcers (stage II, III or IV) or after surgery, for persons who received a flap or skin graft to cover a wound.
Pricing and Suppliers
Is it covered by Medicare Part B?
Medicare Part B (Medical Insurance) covers rental of non-powered advanced pressure reducing mattresses that are considered medically necessary for treatment of a superficial (stage II) or deep (stages III or IV) pressure injuries with skin loss, or following a flap or skin graft surgery. Rental reimbursement is capped at 13 months for pressure ulcers, and at 60 days for flaps or skin grafts. Medicare has guidelines that establish what is considered medically necessary and how often an item can be used.
Local Coverage Determination for Pressure Reducing Support Surfaces - Group 2 (L33642)
How can I purchase this product?
Powered pressure-reducing air mattresses can be rented through Medicare from medical equipment stores. You can also purchase this product "out-of-pocket" (without insurance), from medical equipment stores.
The table below shows highest and lowest Medicare pricing across the country
|Description||Medicare DME co-payment Min / Max
|Nonpowered pressure mattress||
$33.61 / $41.08
If your insurance does not cover this product, you can purchase it directly from any store. A list of online stores and prices is provided below for your convenience. For updated prices, find it on the internet at https://woundreference.com/app/product?id=971
* Indicates whether store accepts Medicare or commercial insurance, but may not apply to this specific product. See coding, coverage and reimubursement for more information.
The information on this handout is for your convenience and educational purposes only. All product claims and specifications are those of the product suppliers. It does not constitute medical advice or a guarantee for reimbursement. Prices may have changed and suppliers may not have product in stock. Please confirm accuracy and appropriateness of information with insurance carrier and product supplier. Clinician and WoundReference assume no liability for inaccuracies or misstatements about products and insurance coverage.