How to bill for photodynamic therapy of actinic keratosis

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

Article Overview

This article explains a Medicare billing workflow for photodynamic therapy in the context of actinic keratosis care. It is aimed at dermatology billing and coding staff, physician offices, and revenue cycle teams that need to understand the general sequence of services, the Medicare benefit context, and the codes referenced for office evaluation, topical agent administration, and the therapy itself. The piece also notes an alternative miscellaneous procedure approach and points readers to a related Medicare coverage reference.

Why This Topic Matters

It helps coding and billing teams identify how this dermatology service is discussed in a Medicare reimbursement context and recognize which code sets and codes are associated with the service sequence.

What You Will Learn

  • The Medicare billing context for photodynamic therapy in actinic keratosis care
  • How the article frames the sequence of office evaluation, topical agent administration, and treatment day service reporting
  • Which code sets and identifiers are referenced in connection with the service
  • The article’s mention of an alternative miscellaneous procedure reporting approach
  • The related Medicare coverage reference cited at the end of the article

Who Should Read This

  • Dermatology coders
  • Medical billers
  • Physician office staff
  • Revenue cycle teams
  • Part B billing staff

Codes Discussed


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