AMA CPT® Assistant - 2018 Issue 2 (February)
Photodynamic Therapy (February 2018)
February 2018 page 10 Photodynamic Therapy Current Procedural Terminology (CPT®) code 96567 (photodynamic therapy) was identified by the Centers for Medicare & Medicaid Services (CMS) in a screen of high expenditure services. In the Medicare Physician Fee Schedule final rule for 2016, CMS indicated that the work and practice expense for this service should be reviewed. Code 96567—first included in CPT 2002—is not valued to include physician work. More recently, the stakeholder specialties provided information that physicians may be involved in the delivery of care to patients who receive photodynamic therapy. As a result, two new codes (96573...
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