Covered by Medicare if the patient meets:
a) Completely immobile - i.e., patient cannot make changes in body position without assistance.
OR
b) Criteria 1 or 2 and at least one of criteria 3-6.

1. Limited mobility - i.e. patient cannot independently make changes in body position significant enough to alleviate pressure.
2. Any stage pressure ulcer on the trunk or pelvis.
3. Impaired nutritional status.
4. Fecal or urinary incontinence.
5. Altered sensory perception.
6. Compromised circulatory status.

A physician's written prescription/order must be furnished to the supplier prior to delivery (WOPD).