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Cosmetic procedures billed to insurance

Corina Posted Tue 25th of September, 2012 13:38:10 PM

In some cases insurance will cover microdermabrasion and broadband light treatment I am wondering what are the best codes to represent them? I have been using 17999 for microderm. Not sure on broadband light.... 96900??

SuperCoder Answered Tue 25th of September, 2012 23:40:47 PM

If you look at your 2012 CPT® code book, you would find the codes listed under Special Dermatological Procedures in the 96900-96999 range.

You can also look for keywords such as "ultraviolet light therapy," "PUVA," or "photochemotherapy" -- all of which will lead you to the same code series.

Policy: PUVA or phototherapy and photochemotherapy are medically necessary treatments for the following skin conditions after conventional therapies have failed, including but not limited to:

severely disabling psoriasis (i.e., psoriasis involving 10% or more of the body)
cutaneous T-cell lymphoma (mycosis fungoides)
severe refractory atopic dermatitis/eczema
severe urticaria pigmentosa (cutaneous mastocytosis)
severe lichen planus
severe parapsoriasis
pityriasis lichenoides
granuloma annulare
alopecia areata
photodermatoses.

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