This article from "Medicare B News," Issue 136 dated August 1995 is being updated and reprinted to ensure that the Noridian Administrative Services' provider and supplier community has access to recent publications that contain the most current, accurate and effective information available
CPT code 96913 has been categorized as an "incident to" code. This means that it is covered incident to a physician's service when it is furnished by auxiliary personnel employed by the physician and working under the physician's direct supervision.
Payment will not be made for this service when it is furnished to hospital inpatients or patients in a hospital outpatient department. Physicians may bill for evaluation and management services in those settings.
| CPT Code | Description |
96913 | Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least four to eight hours of care under direct supervision of the physician (includes application of medication and dressing) |
Applies to the states of: AK, AZ, CO, HI, IA, MT, ND, NV, OR, SD, UT, WA & WY
Effective Date: Immediately
Source: Medicare B News Issue 136, August 1995
History:
10/14/2010 - Effective 2/1/2008, in accordance with Section 911 of the Medicare Modernization Act of 2003, this article was retired as the claims processing and medical review oversight for the state of Iowa transitioned to J5 MAC - Part B, WPSIC (05102).
10/14/2010 - Effective 3/20/2008, in accordance with Section 911 of the Medicare Modernization Act of 2003, this LCD was retired as the claims processing and medical review oversight for the state of Colorado (CO) was transitioned to J4 MAC - Part B, Trailblazer (04102).
10/15/2010 - Effective 10/15/2010 this article is retired for the following Noridian Administrative Services Part B contract numbers: 00821 (AK, OR, WA)., 03102 (AZ) , 03202 (MT), 03302 (ND), 03402 (SD), 03502 (UT), and 03602 (WY).
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