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If any measurable degree of wound healing has failed to occur over the prior month, clinicians may consider discontinuing NPWT and reassessing the plan of care, as recommended by Noridian Medicare Local Coverage Determination.[9] Wound healing is defined as improvement occurring in either surface area (length times width) or depth of the wound (Figures 3a-3d) It should be noted that a decrease in wound depth alone may not be considered sufficient progress with respect to continued insurance approval for NPWT DME products