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Guide to
Clinical UVB, NB UVB, and UVA Insurance Reimbursement
The facts about insurance
reimbursement for phototherapy
- $1.27 - Operational cost for one treatment
- $38 - Medicaid average phototherapy
reimbursement
- $56 - Private insurance average payout*
- Unlike biologics, insurers almost universally cover
phototherapy treatments
Treatment codes for insurance billing:
- 96910 - UVB or NB UVB
- 96912 - UVA
Phototherapy is typically
covered for the following conditions (prior approval may be required):
- Psoriasis
- Eczema
- Vitiligo
- Atopic dermatitis
- Photodermatoses
- Pitiariasis rosea
- Lichen planus
- Pityriasis lichendoides
- Acne
- Parapsoriasis
- Pruritic eruptions of HIV infection
- Cutaneous lymphoma pigmatosa including mycosis fungoides
- Alopecia areata
- Granuloma annulare
- Severe refractory pruritis
- Pruritus of renal failure
- Morphea and localized lesions associated with scleroderma
- Chronic urticaria
Interested in
helping a patient purchase a home unit?
We offer a guide to insurance reimbursement
for patients and physicians. It describes the process and has links to all
of the forms you'll need. Click here.
*US insurance
rates are research-based estimates
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