Iontophoresis
BCBS POLICY
Iontophoresis may be considered medically necessary to administer local anesthesia prior to a venipuncture or dematologic procedure.
Iontophoresis of fentanyl may be considered medically necessary for the short-term (i.e., less than 24 hours) management of acute postoperative pain in adult patients requiring opioid analgesia during hospitalization.
Iontophoresis as a transdermal drug delivery technique for other medical indications is considered investigational.
POLICY GUIDELINES
Investigative service is defined as the use of any treatment procedure, facility, equipment, drug, device, or supply not yet recognized by certifying boards and/or approving or licensing agencies or published peer review criteria as standard, effective medical practice for the treatment of the condition being treated and as such therefore is not considered medically necessary.
The coverage guidelines outlined in the Medical Policy Manual should not be used in lieu of the Member's specific benefit plan language.
Code Number Description
CPT - 97033 Application of a modality to one or more areas; iontophoresis, each 15 minutes
ICD- 99.27 Iontophoresis - Not reimbursed code
POLICY HISTORY
8/2001: Approved Medical Policy Advisory Committee (MPAC)
2/14/2002: Investigational definition added
5/1/2002: Type of Service and Place of Service deleted
5/29/2002: Code Reference section updated, ICD-9 diagnosis code 780.8 added non-covered table
7/2003: Reviewed by MPAC, no changes, FEP coverage updated, Sources updated
11/19/2004: Code Reference section reviewed, CPT code 97033 description revised and "Note: Some providers may code iontophoresis using CPT code 97039, unlisted modality. This is inappropriate." deleted, non-covered table deleted, ICD-9 diagnosis code 780.8 deleted non-covered codes
10/17/2006: Policy reviewed, updated to match BCBSA policy
10/25/2006: Code Reference section updated. ICD-9 Diagnosis Codes 726.32, 726.71, 728.71 deleted from policy
10/01/2007: Policy reviewed. Added iontophoresis of fentanyl may be considered medically necessary for the short-term (i.e., less than 24 hours) management of acute postoperative pain in adult patients requiring opioid analgesia during hospitalization
11/15/2007: Policy revisions approved by MPAC
10/7/2008: Policy reviewed, no changes
Medicare Payments, Reimbursement, Billing Guidelines, Fees Schedules , Eligibility, Deductibles, Allowable, Procedure Codes , Phone Number, Denial, Address, Medicare Appeal, EOB, ICD, Appeal.
Medicare Guideline posts
- Home
- Finding Medicare fee schedule - HOw to Guide
- LCD and procedure to diagnosis lookup - How to Gui...
- Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline,
- Step by step Guide Medicare participation program
- Medicare Fee for Office Visit CPT Codes - CPT Code 99213, 99214, 99203
- Medicare revalidation process - how often provide need to do - FAQ
- Gastroenterology, Colonoscopy, Endoscopy Medicare CPT Code Fee
- Medicare claim address, phone numbers, payor id - revised list

Subscribe to:
Post Comments (Atom)
Top Medicare billing tips
-
CPT CODE and Description CPT 99201 Office or other outpatient visit for the evaluation and management of a new patient, which requires thes...
-
Procedure code and description 11400- Excision, benign lesion, except skin tag (unless listed elsewhere), trunk, arms or legs; lesion d...
-
URIBEL- methenamine, sodium phosphate, monobasic, monohydrate, phenyls alicylate, methylene blue, and hyoscyamine sulfate capsule Uribel i...
-
This post has Most used J code list and we are constantly updating with example . If you are looking particular J code, use search button. ...
-
LAPAROSCOPY ; LAPAROSCOPIC SURGERY Procedures and Related CPT and ICD-9 Procedure Codes CPT Code CPT Description ICD -9 ...
-
Procedure code and description 93000 - Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report -average fee...
-
Procedure code and description 93224 - External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage;...
-
procedure code and description 11042 -Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 square cm ...
-
CPT CODES and Description 81000 Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitr...
-
Procedure Codes and Definitions 36415 Collection of venous blood by venipuncture - Fee schedule amount $3.10 - Private insurance pay upt...

No comments:
Post a Comment