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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