CPT code 96920 specifically identifies and describes the medical procedure involving excimer laser treatment for psoriasis. This code is essential for healthcare providers to accurately bill for this specialized dermatological service.
Understanding CPT Code 96920
Current Procedural Terminology (CPT) codes are a standardized set of medical codes used by healthcare professionals to describe medical, surgical, and diagnostic services to health insurance payers. Developed and maintained by the American Medical Association (AMA), these codes ensure consistent reporting of medical procedures across the healthcare industry.
CPT code 96920 specifically falls under the phototherapy section of the CPT manual and denotes a targeted light therapy.
Excimer Laser Treatment: A Targeted Approach
Excimer laser treatment is a form of targeted phototherapy primarily used for chronic skin conditions like psoriasis.
- How it Works: The excimer laser delivers a highly concentrated beam of ultraviolet B (UVB) light, typically at a wavelength of 308 nanometers, directly to the psoriatic lesions. This precision allows for the treatment of affected areas while minimizing exposure to healthy surrounding skin.
- Mechanism of Action: The UVB light from the excimer laser works by suppressing the localized immune response in the skin that contributes to the rapid skin cell turnover characteristic of psoriasis. It helps to reduce inflammation and slow down skin cell growth, leading to clearer skin.
- Benefits:
- Targeted Treatment: Ideal for localized plaques, scalp psoriasis, or areas resistant to other treatments.
- Reduced Side Effects: Less systemic exposure compared to oral medications or broad-band phototherapy, potentially leading to fewer side effects.
- Efficiency: Often requires fewer sessions than traditional phototherapy for similar results.
For more information on excimer laser therapy, resources like the American Academy of Dermatology (AAD) provide valuable insights.
Psoriasis: The Condition Targeted
Psoriasis is a chronic autoimmune disease that causes skin cells to grow too quickly, resulting in thick, red, scaly patches on the skin. It can affect various parts of the body, including the scalp, elbows, knees, and nails. While there is no cure for psoriasis, various treatments aim to manage symptoms and improve quality of life.
- Types of Psoriasis Treated: Excimer laser is particularly effective for localized plaque psoriasis, which presents as distinct, raised red patches covered with silvery scales.
- Suitability: Patients with mild to moderate localized psoriasis, or those who haven't responded well to topical treatments, are often good candidates for excimer laser therapy.
The National Psoriasis Foundation (NPF) offers comprehensive information about the condition and its management.
Billing and Application of CPT Code 96920
CPT code 96920 is utilized by dermatologists and other qualified healthcare providers when performing excimer laser treatment for psoriasis.
| CPT Code | Description | Application | Typical Provider |
|---|---|---|---|
| 96920 | Excimer Laser Treatment | Specifically for Psoriasis | Dermatologist |
Practical Insight: When a patient receives excimer laser treatment, the dermatologist's office will use this CPT code when submitting claims to the patient's insurance company for reimbursement. Each session of treatment is typically billed using this code. For example, if a patient undergoes 10 sessions of excimer laser treatment for their psoriasis, CPT code 96920 would be submitted for each individual session.
Important Considerations for Patients
Patients considering excimer laser treatment for psoriasis should be aware of several factors:
- Treatment Course: A typical course involves multiple sessions, often two to three times per week, over several weeks or months, depending on the severity and response.
- Potential Side Effects: Common side effects are usually mild and may include redness, itching, or a sunburn-like sensation in the treated area. Blistering is rare but can occur with higher doses.
- Consultation: It is crucial for patients to have a thorough consultation with a board-certified dermatologist to determine if excimer laser treatment is the appropriate and safest option for their specific condition.
