Dummer R, Ivanova K, Scheidegger EP, Burg G. Clinical and therapeutic aspects of polymorphous light eruption. J Eur Acad Dermatol Venereol. Whitton ME, Ashcroft DM, Barrett CW, Gonzalez U. Ann Dermatol Venereol. UpToDate [online serial]. IRR No. Chen X, Yang M, Cheng Y, et al. Lewis FM, Tatnall FM, Velangi SS, et al. Lymphomatoid papulosis misdiagnosed as pityriasis lichenoides et varioliformis acuta: Two case reports and a literature review. J Eur Acad Dermatol Venereol. For example, a Medicare national coverage decision might specify coverage restrictions based on certain clinical conditions, prerequisite treatments and other factors. Although 96920 for excimer is technically only for psoriasis, some payers will let you use it for other diagnoses since there is no other excimer code. Home ultraviolet phototherapy. Choi YM, Adelzadeh L, Wu JJ. Int Arch Allergy Immunol. Available at: https://www.aad.org/practicecenter/quality/clinical-guidelines/psoriasis/phototherapy-and-photochemotherapy/uvb-combination-therapies. Kreutz M, Karrer S, Hoffmann P, et al. A randomized comparison of narrow-band TL-01 phototherapy and PUVA photochemotherapy for psoriasis. R1. Br J Dermatol. HTA Report. 1994;10(4):139-143. The combination topical vitamin D3-analog calcitriol and 311-nm NB-UVB phototherapy was effective and can be regarded as a useful alternative to glucocorticoids for the treatment of erythema annulare centrifugum. J Am Acad Dermatol. Tan E, Lim D, Rademaker M. Narrowband UVB phototherapy in children: A New Zealand experience. 167. Lesions improved with treatment in most cases, and none of the cases was associated with hematologic malignancies. McMullin MF, Bareford D, Campbell P, et al. Australas J Dermatol. A systematic review of treatments for severe psoriasis. These researchers analyzed the clinical outcome of patients affected by ISM with prevalent pruriginous cutaneous symptoms and a scarce response to antihistamines treated using narrowband ultraviolet B (NB-UVB) phototherapy, which was administered in a UV-irradiation cabin equipped with fluorescent UVB lamps with a peak emission at 311 to 313 nm. J Am Acad Dermatol. Goldstein BG, Goldstein AO. Furthermore, an UpToDate review on Pityriasis lichenoides chronica (Musiek, 2022) states that Narrowband ultraviolet B (NBUVB), broadband ultraviolet B (UVB), and psoralen plus ultraviolet A (PUVA) are the primary phototherapeutic modalities used to treat these diseases. Exp Ther Med. %PDF-1.4 Modifier. Waltham, MA: UpToDate; reviewed December 2020; December 2021; December 2022. Mayo Clin Proc. Am Fam Physician. Interventions for treating oral lichen planus. OkAX5;nQ{BWSJ Kf V@(VX0Gl_`\RQk_i=0TFx24vDK P Db}1`w=W )T+Yj{f/I {b9Dc X%F^lZ?_/59]6$L54[4qyS$_A+'pRT.G[8)c. Ferrandiz C, Carrascosa JM, Just M, et al. <> The British Association of Dermatologists guidelines on Management of lichen sclerosus (Lewis et a, 2018) did not have a recommendation for ultraviolet light therapy. endobj 2000;136:748-752. Can anyone provide? In more than one-third of the cases, the most common clinical correlates are drug eruptions A special and rare subtype is giant cell lichenoid dermatitis, a rare condition considered an unusual variant of lichenoid drug eruption or a manifestation of sarcoidosis. The diagnosis coding for vitiligo remains straightforward under the earlier ICD-9 (709.01) and current ICD-10 (L80). American Academy of Dermatology Committee on Guidelines of Care. CPT code information is copyright by the AMA. AmericanAcademy of Dermatology (AAD). 2015;26(3):202-207. Wolff K. Treatment of cutaneous mastocytosis. Furthermore, an UpToDate review on Vulvar lichen sclerosus (Cooper and Arnold, 2021) does not mention narrow-band ultraviolet B (NB-UVB) as a management / therapeutic option. (Note: This amount is what Medicare allows; other commercial carriers may pay a little 96900-96910 are for light box and 969208-96922 are for excimer. [b]UVB narrowband light box[/b] Lau et al (2022) stated that COVID-19 morbidity and mortality are driven by poor immune regulation. 2011;66(5):453-457. Broad spectrum sunscreens with an SPF of at least 30 should be regularly used, For patients with active lesions, we suggest treatment with potent topical corticosteroids (groups one to three). J Dermatolog Treat. Cochrane Database Syst Rev. Ghoreschi K, Thomas P, Penovici M, et al. Wl|ury{4G0K(fWtWaFF~EEd 5RUVC!Wj%,x x}aLp5+`Q|5gvu0uSj K Oeol/vrcYU ogjG0ke5G^$)Kma]6 1992;45(6):2681-2686. Waltham, MA: UpToDate; reviewed November 2019. There was a lack of high level of evidence studies on PL treatment. history of ionizing radiation exposure; or, history or presence of melanoma or other skin cancer; or. Prompt resolution was achieved with NB-UVB phototherapy and avoidance of re-challenge. NCCN Clinical Practice Guidelines in Oncology, Version 1.2022. PUVA-bath photochemotherapy and isotretinoin in sclerodermatous graft-versus-host disease. J Am Acad Dermatol. Language services can be provided by calling the number on your member ID card. Honigsmann H. UVB therapy (broadband and narrowband). A complete clinical and histologic remission of disease, lasting for a median duration in excess of 18 months, was achieved in 19 patients (61 %) with MF. Loading 1995;132(6):956-963. Cooper SM, Arnold SJ. Hautarzt. Br J Dermatol. 2000;10(8):642-645. Brazzelli et al (2012) stated that mastocytoses represent a heterogeneous group of stem cell disorders marked by an abnormal hyperplasia and accumulation of mast cells in one or more tissues, including bone marrow, gastro-intestinal (GI) tract, liver, spleen, lymph nodes and skin. NB-UVB phototherapy in hospitalized COVID-19 patients was safe. -btac!CZs}h(u\m0g%lv9+ vD)"g5fB "ugBzJ hfg[K(RHkV};EO5CYN[?>k\m)?s;LDZV:J2{9A?EQ|%Vt=oQI7qB?ZI/n(r+X`:F@+Y?0Sb;e %:FNc9RG2>!. Moreover, these researchers stated that further longitudinal studies are needed to examine prognostic differences between CD4(+) and CD8(+) LyP and their biological significance. Dermatol Clin. 96920 - CPT Code in category: Laser treatment for inflammatory skin disease (psoriasis) CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. Skin lesions of each patient were examined, before and after treatment, according to a cutaneous scale score. UpToDate [online serial]. Zheng Y, Jia J, Tian Q, et al. An alternative in patients with infrequent exacerbations, particularly those who require rapid improvement, is a short course of systemic glucocorticoids, For patients who develop frequent exacerbations during the spring and summer, we suggest prophylactic phototherapy in early spring, Juvenile spring eruption is a variant of PMLE that is manifested by erythematous papules or bullae typically on ears of children or adolescents after sun exposure. % Histopathologic examination showed a diffuse cellular infiltration of small and medium-sized T lymphocytes CD30+ in the superficial dermis. Psoriasis and Reiter's syndrome. We maintain and annually update a List of Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System 1993;42(4):409-410. 2004;45(3):167-169. Brenner M, Herzinger T, Berking C, et al. The above policy is based on the following references: Last Review 2008;18(6):667-670. UpToDate [online serial]. Photosensitivity disorders (photodermatoses): Clinical manifestations, diagnosis, and treatment. Regional lymphomatoid papulosis in a child -- treatment with a UVB phototherapy handpiece. Cochrane Database Syst Rev. Oral psoralen photochemotherapy (PUVA) for pruritus associated with polycythemia vera and myelofibrosis [letter]. PUVA treatment of alopecia areata partialis, totalis and universalis: Audit of 10 years' experience at St. John's Institute of Dermatology. Copyright Aetna Inc. All rights reserved. After maintenance phototherapy was discontinued, 7 patients (23% ) had a sustained disease-free interval lasting more than 58 months (median of greater than 90 months). Waltham, MA: UpToDate; reviewed December 2015. Eight years after the initial onset of these lesions she developed cutaneous T-cell lymphoma (mycosis fungoides). 2002;127(2):156-159. Histopathologic findings include multinucleated giant cells For patients with symptomatic disease involving a limited skin area (e.g., the extremities), we suggest topical corticosteroids rather than oral corticosteroids (Grade 2C). 2017;15(2):151-157. [vsu}/}'K-Qg=,SF~9BB_!)S[^Z=^A3g*k7{)WW.5cb?u }G?7BO05PdcGLtcGC/7v(ui#xLzkF.GQMsqA. Grundmann-Kollmann M, Behrens S, Podda M, et al. These investigators treated a patient with large lesions in the area of the thighs resistant to a therapy with topical glucocorticoids, with topical calcitriol in combination with 311-nm narrow band ultraviolet B (NB-UVB) phototherapy. Jeanmougin M, Rain JD, Najean Y. Efficacy of photochemotherapy on severe pruritus in polycythemia vera. Int J Dermatol. Phototherapy and photochemotherapy of sclerosing skin diseases. Walker D, Jacobe H. Phototherapy in the age of biologics. %PDF-1.4 The dose is increased during subsequent treatments as tolerated by the patient. Gupta G, Man I, Kemmett D. Hydroa vacciniforme: A clinical and follow-up study of 17 cases. 1):215-219. J Am Acad Dermatol. Lancet. Access to this feature is available in the following Furthermore, UpToDate reviews on Overview of dermatitis (eczematous dermatoses) (Howe, 2022) and Overview of cutaneous lupus erythematosus (Merola, 2022) do not mention the use of NB-UVB as a management / therapeutic option. Fee Tan AWH, Giam YC. % PROGRAM EXCEPTIONS: Federal Employee Program (FEP): Follow FEP guidelines. %PDF-1.4 3) Contact your MAC. The rash was characterized by small papules up to 10-mm in diameter distributed in a guttate pattern over most of his body and displaying the Kobner phenomena. Castells MC, Akin C. Cutaneous mastocytosis: Treatment, monitoring, and prognosis. Clin Exp Dermatol. Clinical experience suggests that potent topical corticosteroids (groups one to three) may be used for symptomatic relief, and may be sufficient pharmacologic therapy for mild cases. Calzavara-Pinton P, Venturini M, Sala R. Medium-dose UVA1 therapy of lymphomatoid papulosis. Arch Dermatol. 2015;33(4):697-702. Narrow-band UVB phototherapy and psoralen-ultraviolet A photochemotherapy in the treatment of cutaneous mastocytosis: A study in 20 patients. J Eur Acad Dermatol Venereol. 006), but not in sleep quality. Dermatol Clin. It may be reported using the CPT 96999, but the CPT codes for 96900-96910 for light box might also be used. 2012;53(2):136-138. 2006;31(1):65-67. They searched for the records of all patients with a clinical and histopathologic diagnosis of LyP seen at the authors clinic from January 1991 through April 2008. List of CPT/HCPCS Codes. Sunscreens should be broad spectrum, with both UVA and UVB protection. <> Commercial carriers may pay a little bit more.) There was a relapse after 9 months with a good response after 6 more sessions of treatment. 2012;63(2):89-96. Since then, she has had recurrence of mycosis fungoides following the cessation of phototherapy; but exhibited no evidence of systemic involvement. Furthermore, an UpToDate review on Erythema annulare centrifugum (Haeberle, 2021) does not mention NB-UVB as a management / therapeutic option. 4 0 obj UpToDate [online serial]. 3) Contact your MAC. 1999;135:1377-1380. 2015;81(1):10-15. Khaled A, Kerkeni N, Baccouche D, et al. 1996;17(6):1061-1067. 2000;(2):CD001213. Klecz RJ, Schwartz RA. Progressive macular hypomelanosis: An epidemiological study and therapeutic response to phototherapy. Recently United Healthcare sent us a letter saying that we should bill with 96900 instead of 96910. ^.AtGT"$mXJ5>O 70Z~QMlZqk(g!a5t=&D&V;v085tu}*s~iQn,kd7X@hg:=ZyY{L.-tRwJ0#T4a@smysDX*>e hS}*=hn?=M.Z%Kn4I i~xNZw`+zM7iqMY-P'gQe%4u`=ZGYx_jZN# 86WDTI 57Qn-OmGhCQ= Samson Yashar S, Gielczyk R, Scherschun L, Lim HW. 1996;73(2):91-93. T-cell intracytoplasmic antigen staining was positive in 3 cases of CD8(+) LyP type A and the 1 case of LyP type B. Lesional T-cell receptor gene re-arrangement studies were negative in 9 of 10 patients with LyP type A. Psoriasis: Recommendations for UVB combination therapies. I'm searching for the LCD for Michigan CPT code 96900. Treister N, Li S, Lerman MA, et al. Br J Dermatol. Home UV phototherapy of early mycosis fungoides: Long-term follow-up observations in thirty-one patients. This power calculation will be used to refine the biostatistical considerations for the planned, larger clinical trial. 2002;147(4):743-747. de Souza A, Camilleri MJ, Wada DA, et al. Topical psoralen-ultraviolet A therapy for palmoplanar dermatoses: Experience with 35 consecutive patients. 2017;176(1):62-70. Subscribe to Anesthesia Coder today. Aetna does not provide health care services and, therefore, cannot guarantee any results or outcomes. The American Academy of Professional Coders (AAPC) 2015 data showed that the average wage for a Certified 2006;154(4):701-711. Histological features were consistent with the type B lesions of LyP. An UpToDate review on UVB therapy (broadband and narrowband) (Honigsmann, 2019) lists lupus erythematosus and xeroderma pigmentosum as absolute contraindications as well as history of photosensitivity diseases (e.g., chronic actinic dermatitis, solar urticaria), history of melanoma, history of nonmelanoma skin cancer, history of treatment with arsenic or ionizing radiation because of the increased risk for skin cancer, and immunosuppression for organ transplant patients as relative contraindications. No AEs occurred. Efficacy of psoralen UV-A therapy vs. narrowband UV-B therapy in chronic plaque psoriasis: A systematic literature review. Berg M, Ros AM, Berne B. Ultraviolet A phototherapy and trimethylpsoralen UVA photochemotherapy in polymorphous light eruption -- a controlled study. Tan and Foley (2004) reported on the case of a 23-year-old man who presented with the onset of a widespread pruritic eruption 4 days after ingestion of an Ecstasy tablet for the 1st time. 2003;4(2):97-105. Sullivan TJ. Vulvar lichen sclerosus. The average follow-up time was 5.5 years. Photodermatol Photoimmunol Photomed. View any code changes for 2023 as well as historical information on code creation and revision. Cologne, Germany: German Agency for Health Technology Assessment at the German Institute for Medical Documentation and Information (DAHTA) (DIMDI); 2006. The Current Procedural Terminology (CPT) code range for Medicine Services and Narrow-band ultraviolet B phototherapy versus broad-band ultraviolet B or psoralen-ultraviolet A photochemotherapy for psoriasis. Diederen P, van Weelden H, Sanders C, et al. Oral erythromycin showed clearance rates ranging between 66 % and 83 %, whereas methotrexate up to 100 % but in small and dated studies. Waltham, MA: UpToDate; reviewed December 2017. Because narrowband UVB is easier to administer, it is often preferred to PUVA therapy for patients with PMLE. 1993;29(1):73-77. A total of 441 studies were screened, and 37 original manuscripts meeting the inclusion and exclusion criteria were identified, including 12 case-series studies, 18 reviews, 4 prospective studies, 2 comparative studies and 1 RCT. Pugashetti R, Lim HW, Koo J. Broadband UVB revisited: Is the narrowband UVB fad limiting our therapeutic options? ]E9epXU9Gh`=8t-hu"cck@3"5I]L'2aCOdUf*!z|m3?Q'i( '"k1VE.t@`+M`tBMA9c1:O00AOC_1vkm7=2KDlq?+1f9OQ"&w(+J} 9=]pCG2**w0B3X\dGCi$5f%3x1z Try entering any of this type of information provided in your denial letter. Beattie PE, Dawe RS, Ibbotson SH, Ferguson J. UVA1 phototherapy for treatment of necrobiosis lipoidica. Morison WL, Nesbitt JA 3rd. Lymphomatoid papulosis associated with recurrent cutaneous T-cell lymphoma. Suh KS, Kang JS, Baek JW, et al. Applicable service codes: 96900, 96912, 96913, 96920, 96921, 96922 There is no specific CPT code for laser therapy for vitiligo. Long-term results of topical PUVA in necrobiosis lipoidica. Am J Clin Dermatol. Bishnoi A, Parsad D, Vinay K, Kumaran MS. Phototherapy using narrowband ultraviolet B and psoralen plus ultraviolet A is beneficial in steroid-dependent antihistamine-refractory chronic urticaria: A randomized, prospective observer-blinded comparative study. Im having issues with some payers specifically UHC not paying the light box therapy since Sept, but have always paid this in the past. In: BMJ Clinical Evidence. These researchers presented follow-up data of the original 31 patients, covering an interval of up to 15 years. Narbutt J, Torzecka JD, Sysa-Jedrzejowska A, Zalewska A. WebSUNY Downstate Health Sciences University, School of Health Professions Medical Billing and Coding program is a certificate program designed to assist individuals entering the field of medical billing and coding, or preparing for certification. Ultraviolet phototherapy management of moderate-to-severe plaque psoriasis. 2010;21(6):326-330. Am J Clin Dermatol. Waltham, MA: UpToDate; reviewed December 2017. 2015;31(2):75-82. van Coevorden AM, Kamphof WG, van Sonderen E, et al. Q. Dogra S, Mahajan R; Indian Association of Dermatologists, Venereologists and Leprologists. Q We do Mohs in 2003;19(5):265-267. CPT/HCPC Code. In contrast, a small randomized trial showed narrowband UVB to be as effective as PUVA. Indolent systemic mastocytosis (ISM) is characterized by red-brownish and pruriginous maculopapular lesions, a bone marrow infiltration without functional impairment and an indolent clinical course with a good prognosis. Lymphomatoid papulosis. Web(9690096999) special dermatological procedures (9700197799) physical medicine and rehabilitation (9780297804) medical nutrition therapy (9781097814) acupuncture (9892598929) osteopathic manipulative treatment (9894098943) chiropractic manipulative treatment (9896098962) education and training for patient self-management Watsky K. Prurigo nodularis. Global Surgery Indicator. A total of 10 cases showed CD8 predominance by immunohistochemistry. J Am Acad Dermatol. A total of 24 patients with CU were included and divided into 2 groups: CPB 0577 - Laser Treatment for Psoriasis and Other Selected Skin Conditions. J Am Acad Dermatol. Narrow-band UVB (311 nm) versus conventional broad-band UVB with and without dithranol in phototherapy for psoriasis. WebCheck Out These Phototherapy Rates Good news: Most insurance carriers cover 96900. 2018. The provider uses ultraviolet rays to treat skin diseases. Waltham, MA: UpToDate; reviewed February 2020. <> The efficacy of psoralen photochemotherapy in the treatment of aquagenic pruritus. Chronic actinic dermatitis: Two patients with successful management using narrowband ultraviolet B phototherapy with systemic steroids. Am J Hematol. Decreased mortality was observed in treated patients; however, this was statistically non-significant. 6 0 obj It should currently be reported using UpToDate [online serial]. The authors concluded that given its low-cost, scalability, and adjunctive nature, NB-UVB has the potential to improve COVID-19 outcomes. wGj%{aC?'R&M|*,uM} V^At9lnZWBW+%Pu Db:V~;v*(.C[6*-/E WebSUNY Downstate Health Sciences University, School of Health Professions Medical Billing and Coding program is a certificate program designed to assist individuals entering the Guidelines of care for phototherapy and photochemotherapy. Practice Management Center. Phototherapy may be considered for temporary symptomatic relief in patients with diffuse cutaneous mastocytosis with extensive skin involvement refractory to medical management. An evidence-based analysis. J Am Acad Dermatol. These researchers stated that continuation of this trial is needed. Sun protection - Sun protection is first-line therapy for patients with PMLE and includes sun avoidance, sun protective clothing, and sunscreens. The patient was in good health without lesions after 12 months of follow-up. Most were male (64 %); mean age of onset was 12 years. American Hospital Association ("AHA"), FDA Amends COVID-19 Vaccine Emergency Use Authorizations, Healthcare Workers May Break Free of Noncompete Restraints, GlycoMark Settles False Claims Act Allegations, Ambiguity Surrounding MAO Claim Denials Hampers Fraud Detection. Cather J, Menter A. Narrow-band ultraviolet B treatment for vitiligo, pruritus, and inflammatory dermatoses. TYPE AND SCREEN ORDERING INFORMATION: CPT code(s): 86900, 86850, 86901 Note: The billing party has sole responsibility for CPT coding. Any questions regarding coding should be directed to the payer being billed. The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only. Rep Pract Oncol Radiother. Managed Care. Most insurance carriers cover CPT code 96900 and usually don't have too many restrictions on this code since it only pays about $20. Sidbury R, Davis DM, Cohen DE, et al. The interpretation of the results was biased by the possible auto-resolution of the disease, the sample heterogeneity between children and adults and the short follow-up period of the studies. Code range 96900- 96999. Localized and systemic scleroderma. Dermatology. WebSUNY Downstate Health Sciences University, School of Health Professions Medical Billing and Coding program is a certificate program designed to assist individuals entering the field of medical billing and coding, or preparing for certification. In a systematic review, Bellinato et al (2019) examined the treatments of patients with pityriasis lichenoides (PL). Our group has three doctors and two TB*\iB1M;n dDj\F%rP>z9w@)sV8+Sv`71i`[=e1hb.$uwu$?v>E@ [:7PT-4Lof/K)v;FJ9'Rt+EAtsL^-hkWiI%wcrPW>a 6368? Waltham, MA: UpToDate; reviewed November 2019. Treatments are usually given 2 to 3 times per week over 5 to 6 weeks. 2009;338:b1542. 2013;10:CD009481. J Dermatolog Treat. Arch Dermatol. Improvement is generally seen after 20 to 40 treatments. Elmets CA. 2009;61(6):993-1000. Medicare Location. J Am Acad Dermatol. [QUOTE="gracigoo, post: 323015, member: 48053"] Furthermore, an UpToDate review on Lymphomatoid papulosis (Kadin, 2022) states that For patients with extensive or symptomatic disease, scarring, or cosmetic concerns, we suggest low-dose methotrexate as the initial therapy (Grade 2C) For patients for whom methotrexate is contraindicated and for patients with LyP that does not respond to methotrexate, we suggest psoralen and ultraviolet A (PUVA) therapy (Grade 2C). Links to various non-Aetna sites are provided for your convenience only. Cyr PR. Efficacy of ultraviolet A1 phototherapy in recalcitrant skin diseases. The eruption was not responsive to the initial treatment of topical betamethasone dipropionate 0.1 % ointment and oral prednisolone. Therapy resistant idiopathic scleredema: An underlying pathology not always present. Sunscreens that contain the non-micronized form of zinc oxide or titanium dioxide also offer photoprotection that extends throughout the UV and into the visible spectrum. Search across Medicare Manuals, Transmittals, and more. These researchers stated that further studies are needed. eMedicine, August 26, 2009. Coding issues have been identified throughout all the molecular pathology coding subgroups, but these issues of billing multiple CPT codes for a specific test have been significant in the Tier 2 (81400 - 81408) and Not Otherwise Classified (81479 and 81599) codes. ), melanoma, squamous cell carcinoma, aphakia, and/or basal cell carcinoma. Clin Exp Dermatol. For clinical responsibility, terminology, tips and additional info start codify free trial. Phototherapy for atopic eczema with narrow-band UVB. Primary outcomes were safety and effectiveness, defined as persistent or painful erythema and 28-day mortality. UpToDate [online serial]. 2000;142(1):39-43. Archier E, Devaux S, Castela E, et al. 2001;20(1):27-37. 3 0 obj This case entailed a 44-year-old woman who has had recurrent crops of papules and nodules of LyP on the limbs for 15 years. The cutaneous score improved in both groups. London, UK: BMJ Publishing Group; August 2007. Waltham, MA: UpToDate; reviewed December 2020. The FTC proposes to ban noncompete clauses in employment contracts. These investigators carried out a systematic review according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for studies examining PL treatment including 3 or more subjects and published in English between January 1, 1970 and April 15, 2019. Reticulohistiocytoma (giant-cell); Sinus histiocytosis with massive lymphadenopathy; Xanthogranuloma, Organ-limited amyloidosis [lichen amyloidosis], Mucinosis of the skin [lichen myxedematosus], Other specified congenital malformations of skin [Darier-White], Other and unspecified malignant neoplasm of skin, Radiodermatitis [history of ionizing radiation exposure], Other disorders of skin and subcutaneous tissue related to radiation [late effect of ionizing radiation exposure], Poisoning by arsenical anti-infectives [history of arsenic exposure], Toxic effect of arsenic and its compounds [history of arsenic exposure], Radiation sickness, unspecified [history of ionizing radiation exposure], Encounter for supervision of normal pregnancy, Personal history of malignant melanoma of skin, Personal history of other malignant neoplasm of skin, Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least four to eight hrs of care under direct supervision of the physician (includes applications of medication and dressings), Irritant contact dermatitis, unspecified cause, Unspecified contact dermatitis, unspecified cause, Other specified and unspecified dermatitis, Localized scleroderma [morphea] [only UVA is covered for morphea - not UVB], Other forms of systemic sclerosis [scleroderma], Other congenital pigmentary malformations of skin, Cicatricial pemphigoid [benign mucous membrane pemphigoid], Chronic bullous disease of childhood [Juvenile dermatitis herpetiformis], Replacement bulb/lamp for ultraviolet light therapy system, each, Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection; treatment area 2 sq feet or less, Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection; 4 ft panel, Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection; 6 ft panel, Ultraviolet multidirectional light therapy system in 6 ft cabinet, includes bulbs/lamps, timer and eye protection, Psoriasis [severe/ with frequent flares/ needing to initiate therapy immediately/ unable to attend on-site therapy], Mycosis fungoides and cutaneous T-cell lymphoma [early state], Contact and other urticaria [papular] [chronic urticaria if first-line therapies (e.g.

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