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Wiki photodynamic therapy - One of our surgeons performs

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mwatson@entsc.com

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Saint Louis Park, MN
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One of our surgeons performs photodynamic therapy for patients with cancers of the larynx or oral cavity. He injects Photofrin, and then 48 hours later (under general anesthesia) does a panendoscopy and treats the lesions with a laser, either through a scope for the larynx or directly for tongue, buccal, etc.

We have been having issues with the coding for this. We used to use unlisted codes until BCBS said no, there is a specific code you should be using. We now use 96567 for the oral cavity but Medicare will not reimburse for that code in a hospital setting. Does anyone else out there perform this procedure, and if so what codes are you using?

Thanks.
 
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