Home Phototherapy and Office Phototherpy from National Biological Corporation
For Physicians

Phototherapy Information

Insurance Payouts

The facts about insurance reimbursement

  • $1.27 - Operational cost for one Phototherapy treatment
  • $38 - Medicaid average Phototherapy reimbursement in facility setting
  • $56 - Private insurance average payout for phototheapy treatment*
  • Unlike biologics, insurers almost universally cover Phototherapy treatments

Treatment codes for insurance billing for Phototherapy:

  • 96910 - Narrowband UVB, UVB, tar with UVB, or petrolatum with UVB
  • 96912 - Photochemotherapy; psoralens and ultraviolet A (PUVA)

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 they'll need. Click here.

*US insurance rates are research-based estimates

TUV GSA Compliance Team