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Medicine
Chapter 7
Section 2.6
Chelation Therapy
Issue Date: October 12, 1984
Copyright: CPT
only © 2006 American Medical Association (or such other date of
publication of CPT).
All Rights Reserved.
Revision: C-1, March 10, 2017
1.0 CPT
PROCEDURE CODE
90784
2.0 DESCRIPTION
Chelation techniques for the therapeutic or
preventive effects of removing unwanted metal ions from the body.
3.0 POLICY
Chelation therapy is covered if the chelator
is U.S. Food and Drug Administration (FDA) approved and the therapy
is for an FDA approved indication.
4.0 EXCLUSIONS
Chelation therapy (or chemical endarterectomy)
is considered an unproven therapeutic modality for the treatment
of the following conditions, and is not covered:
• Multiple
sclerosis
• Arthritis
• Hypoglycemia
• Diabetes
• Arteriosclerosis
• Malaria
• Cancer
• Alzheimer’s disease
• Autism spectrum
disorders
• Other
off-label uses of FDA approved chelating agents.
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