Therapeutic light boxes are used for treatment of Seasonal Affective Disorder (SAD).
The following providers may provide SAD Lights and related supplies:
Providers must meet any provider criteria, including accreditation, for third party insurance in order to assist recipients for whom MHCP is not the primary payer.
SAD lights are covered for eligible MHCP recipients with a history of winter depressive episodes with seasonal onset that substantially outnumber any non-seasonal depressive episodes.
Codes: E0203, A4634
Only tabletop therapeutic light boxes approved by the Food and Drug Administration (FDA) are covered. The light bulb is included in the initial purchase or rental of the light box and may not be separately billed. Replacement light bulbs are covered.
Therapeutic light boxes are covered when referred by an MHCP enrolled mental health practitioner.
Therapeutic light boxes are not covered when prescribed for:
Authorization is always required for purchase or rental of a SAD light box. All authorization requests must include:
Submit authorization request and required documentation to the authorization medical review agent.
When billing with an approved authorization:
Refer to the Billing section on the main Equipment & Supplies page and the Detailed Written Orders section for additional information.Report/Rate this page