UV Reimbursement                                                

 

 

 

NEW Targeted UVB for Psoriasis

Blue Cross and Blue Shield providers in some states provide for UVB Targeted Phototherapy for Psoriasis to be billed under CPT 96920-96923 codes. These codes were initially set forth for laser treatment of psoriasis, but BCBS and some affialiates in the states listed below provide reimbursement under these codes when using targeted lamp system like the DuaLight. It is advised that each practice check with the BCBS provider in these states to ensure that the procedure qualifies for and is reimbursed under these CPT codes 

UVB

Most insurers accept the CPT 96910 code for DuaLight UVB procedures.  This is the standard code for UVB-Goekkerman, and is often used for phototherapy booth treatments and hand and foot treatments.

 

PUVA Procedures

Procedures using UVA and psoralen (PUVA) are normally reimbursed under CPT 96912 codes (unless the provisions for 96913 are met)

 

 NEW Targeted Topical PUVA for Psoriasis

Some BCBS providers in the states listed below include targeted phototherapy using UVA and Psoralen for treament of psoriasis filed as Targeted Phototherapy for Psoriasis under CPT codes 96920 - 96923. Check with the providers in these states to ensure targeted PUVA procedures for psoriasis qualify for and are reimursed under these codes.

 

TheraLight, Inc.

2794 West Loker Ave.
Ste. 105
Carlsbad, CA 92010

Phone:
760-930-8000
Fax:
760-930-8011
email: info@theralightinc.com

BCBS Policies for Targeted Phototherapy for Psoriasis by State

Left-click on Icon for each state to view pdf of state pokicy

 

   Idaho                                Illinois

 

   Minnesota                        Mississippi

 

   Nebraska                         New Mexico

 

   North Carolina                 Oklahoma

 

   Oregon                             South Carolina

 

   Texas                                Utah

 

   Washington