AMA CPT® Assistant - 2010 Issue 3 (March)

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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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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