Medicine
Chapter 7
Section 17.1
Dermatological
Procedures - General
Issue Date: April 19, 1983
Copyright: CPT only © 2006 American Medical
Association (or such other date of publication of CPT).
All Rights Reserved.
Revision: C-98, March 22, 2022
1.0 CPT PROCEDURE CODE RANGE
17380, 17999, 96567
- 96999
2.0 DESCRIPTION
The diagnosis and treatment
of skin disorders.
3.0 POLICY
3.1 Dermatological
services may be cost-shared for the treatment of a covered condition
unless otherwise limited or excluded by this manual.
3.2 Topical treatment for hypertropic
scarring and keloids resulting from burns, surgical procedures or
traumatic events may be cost-shared only if there is evidence of
impaired function.
3.3 Medically
appropriate treatment for acne is covered.
3.4 Photodynamic
therapy and photochemotherapy are payable for treatment of conditions
for which the treatment is U.S. Food and Drug Administration (FDA)
approved.
3.5 Medically necessary
laser hair removal or electrolysis that primarily corrects or improves
a bodily function is covered, whether or not there is also a concomitant
improvement in physical appearance. This policy clarification is
effective May 6, 2021.
4.0 Exclusions
Services performed for cosmetic
purposes such as removal of tattoos, hair removal, removal of telangiectasias,
spider angiomas, or facial rejuvenation.
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