March 2010 page 10
Medicine: Photodynamic Therapy (Q&A)
Question: If a provider is treating an arm and a leg with photodynamic therapy at the same encounter, would it be appropriate for the provider to report code 96567 twice, with Modifier 59 on the second report? Would this be considered two separate sessions since these are two different anatomical locations? Please define the term each phototherapy exposure session?
Answer: Code 96567 is reported just once. Code 96567, Photodynamic therapy by external application of light to destroy premalignant and/or malignant lesions of the skin and adjacent mucosa (eg, lip) by...
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