A group 2 support surface is covered if the patient meets:

a. Criterion 1 and 2 and 3, or
b. Criterion 4, or
c. Criterion 5 and 6.

1. Multiple stage II pressure ulcers located on the trunk or pelvis (ICD-9 707.02-707.05).
2. Patient has been on a comprehensive ulcer treatment program for at least the past month which has included the use of an appropriate group 1 support surface.
3. The ulcers have worsened or remained the same over the past month.
4. Large or multiple stage III or IV pressure ulcer(s) on the trunk or pelvis (ICD-9 707.02-707.05).
5. Recent myocutaneous flap or skin graft for a pressure ulcer on the trunk or pelvis (surgery within the past 60 days) (ICD-9 707.02 -707.05).
6. The patient has been on a group 2 or 3 support surface immediately prior to a recent discharge from a hospital or nursing facility (discharge within the past 30 days). is limited to 60 days from the date of surgery.

Continued use of a group 2 support surface is covered until the ulcer is healed or, if healing does not continue, there is documentation in the medical record to show that: (1) other aspects of the care plan are being modified to promote healing, or (2) the use of the group 2 support surface is medically necessary for wound management.