1. Patient has been appropriately turned and positioned
2. Patient has used a group 2 or 3 support surface if the pressure ulcer is on the posterior trunk or pelvis
3. Patient’s moisture and incontinence has been appropriately managed
1. Patient has been on a comprehensive diabetic management program
2. Reduction in pressure on a foot ulcer has been accomplished with appropriate modalities
1) Compression bandages and/or garments have been consistently applied
2) Leg elevation and ambulation have been encourage
All other post operative healing techniques have been attempted or documentation is needed to support the medical necessity for accelerated formation of granulation tissue which cannot be achieved by other available wound treatments