AMA CPT® Assistant - 2018 Issue 7 (July)

Medicine: Special Dermatological Procedures (Q&A) (July 2018)

July 2018 page 15 Medicine: Special Dermatological Procedures Question: If a physician applied the aminolevulinic acid (ALA) solution, but a nurse applied the light treatment to treat a dermatologic premalignant lesion, is it appropriate to report code 96573? Or does the physician, nurse practitioner (NP), or physician's assistant (PA) have to perform both components of the therapy in order to report this code? Answer: The physician and/or qualified health care professional (QHP) (eg, NP, PA) must perform both components of therapy, in order to report code 96573, Photodynamic therapy by external application of light to destroy premalignant lesions of...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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