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- Dec 2, 2011
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- 35
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Our faculty practice purchased a BLU-U and has started doing PDT. This has raised some coding questions the manufacturer is unable to answer.
J7308 - 20% ALA code (Kerastick)
Any trouble getting 2 or more covered if treating extremities and/or trunk? Any particular insurance plans rejecting this or requiring prior auth?
96567 - PDT
No global period and operation of BLU-U or other passive light source can be performed by staff member. Has anyone been using more than one of these per visit? (e.g. L upper chest/back and R upper/chest back on same visit)
17000 series - destruction of pre-malignant lesion(s)
If the treating physician uses PDL or IPL to destroy lesions that have been pre-treated with ALA, does this meet criteria for laser destruction thereby making these codes more appropriate than 96567?
Would appreaciate some input from anyone familiar with PDT coding and reimbursement. Thanks!
J7308 - 20% ALA code (Kerastick)
Any trouble getting 2 or more covered if treating extremities and/or trunk? Any particular insurance plans rejecting this or requiring prior auth?
96567 - PDT
No global period and operation of BLU-U or other passive light source can be performed by staff member. Has anyone been using more than one of these per visit? (e.g. L upper chest/back and R upper/chest back on same visit)
17000 series - destruction of pre-malignant lesion(s)
If the treating physician uses PDL or IPL to destroy lesions that have been pre-treated with ALA, does this meet criteria for laser destruction thereby making these codes more appropriate than 96567?
Would appreaciate some input from anyone familiar with PDT coding and reimbursement. Thanks!
