Ultraviolet light therapy systems are used for treatment of chronic skin conditions.
Providers must meet any provider criteria, including accreditation, for third party insurance or for Medicare in order to assist recipients for whom MHCP is not the primary payer.
MHCP quantity limits and thresholds apply to all recipients unless only Medicare co-insurance or deductible is requested.
Ultraviolet light therapy systems are covered for all eligible MHCP recipients.
Codes: A4633 (Replacement bulbs for ultraviolet light systems) E0691-E0693 (Ultraviolet light systems)
Ultraviolet light B (UVB) therapy systems for use in the home may be considered medically necessary for treatment of severe psoriasis in recipients for whom topical or oral medication has failed or is contraindicated, but who have responded to phototherapy, and who meet one of the following criteria:
Authorization is always required for purchase, rental, or repair of ultraviolet light therapy systems. Documentation must include:
Refer to Non-Mobility Equipment Repairs for authorization requirements for repairs and maintenance service.
Refer to the Billing and Documentation section on the main Equipment & Supplies page for additional information on how to bill.Report/Rate this page