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Hi,
Dermoscopy is a technique that may be utilized to see patterns and structures in lesions that are not perceptible to the naked eye, and is also known as dermatoscopy.
Some payers consider this medically necessary when used for evaluation of members with a history or close family history of any of the following conditions:
1. Atypical nevi
2. Dysplastic nevi
3. Melanoma
4. Non-melanoma skin cancers
Many payers considers dermoscopy experimental and investigational for all other indications because their effectiveness for indications other than the ones listed above has not been established.
So you should confirm with your payers before billing it.
Please feel free to write if you have any questions.
Thanks.
Hi,
I am sorry, I missed the code. Code 96904 should be used for dermoscopy if selection criteria are met.
Thanks.
Hi,
If your provider views a lesion on the arm, then it will not be paid because dermoscopy is considered as experimental or investigational and cannot be billed separately.
Thanks.