Medicine: Photodynamic Therapy (Q&A) (March 2010)

March 2010 page 10 Medicine: Photodynamic Therapy (Q&A) Question: If a provider is treating an arm and a leg with photodynamic therapy at the same encounter, would it be appropriate for the provider to report code 96567 twice, with Modifier 59 on the second report? Would this be considered two separate sessions since these are two different anatomical locations? Please define the term each phototherapy exposure session? Answer: Code 96567 is reported just once. Code 96567, Photodynamic therapy by external application of light to destroy premalignant and/or malignant lesions of the skin and adjacent mucosa (eg, lip) by...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains a photodynamic therapy coding question in a medicine context and discusses how to think about session-based reporting when treatment involves more than one anatomical location. It is useful for coders, billers, and compliance staff who need to understand the scope of the guidance and the coding terminology involved without relying on the premium article itself.

Why This Topic Matters

Photodynamic therapy claims can be affected by how a service is counted and reported across treated sites and encounters. This Q&A helps readers determine whether the article is relevant to their coding workflow and highlights the type of guidance addressed.

What You Will Learn

  • How the article frames photodynamic therapy reporting for a same-encounter question
  • How session-based terminology is discussed in relation to treatment timing and location
  • What broad coding issue is addressed for medicine service reporting in this Q&A format
  • How the article approaches modifier-related inquiry in a general way

Who Should Read This

  • Medical coders
  • Medical billers
  • Compliance professionals
  • Physician practice administrators
  • Dermatology billing staff

Codes Discussed

Modifiers Discussed


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