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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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 dermatology coding question from CPT Assistant focused on special procedural reporting when different members of the care team participate in photodynamic therapy. It is relevant to coders, dermatology practices, and billing staff who need to understand how the article frames provider participation, service components, and code selection guidance in a short question-and-answer format.

Why This Topic Matters

Dermatology practices often need to document which personnel performed each part of a service so claims can be coded consistently with CPT guidance. This piece helps readers identify the article’s scope before reviewing the full premium content.

Article Sections

  1. July 2018 page 15

    A short Q&A on special dermatological procedures and reporting considerations for photodynamic therapy in a clinical setting.

What You Will Learn

  • The general topic area covered by the Q&A
  • How the article frames participation by physicians, QHPs, and clinical staff
  • Which coding guidance category the article addresses for dermatologic photodynamic therapy
  • What kind of documentation and service-composition issue the article discusses

Who Should Read This

  • Medical coders
  • Dermatology billers
  • Practice managers
  • Clinical documentation staff
  • Physician offices
  • Compliance staff

Codes Discussed


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