Cryotherapy for Acne (CPT code 17340): Are there coverage guidelines for this service?
Even though this code is an active/payable code according to the Medicare Physician Fee Schedule Data Base, the service might be performed for cosmetic reasons which would exclude it as a Medicare benefit. In other words, unless the acne poses a threat to health or creates a functional impairment, the service to treat the acne would be considered cosmetic and not payable. Claims for this service may be developed for medical review. If the treatment is done for cosmetic purposes, providers could append modifier -GY to facilitate processing. NC LMRP: http://www.cignamedicare.com/partb/lmrp/nc/cms_fu/96-001-06.html TN LMRP: http://www.cignamedicare.com/partb/lmrp/tn/cms_fu/96-10-06.html ID LMRP: http://www.cignamedicare.com/partb/lmrp/id/cms_fu/96-104.
Related Questions
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- Cryotherapy for Acne (CPT code 17340): Are there coverage guidelines for this service?
