Fee Navigator®

    Health Service Code 98.92F

    Photodynamic therapy for actinic keratosis or superficial basal cell carcinoma of full face, chest, or hand(s)

    NOTE:
    1. May only be claimed when the full face, full chest, or full hand(s) are treated.
    2. May only be claimed by a dermatologist.
    Category:M Minor Procedure
    Base rate:$193.06

    Fee modifiers:

    No modifiers.

    Governing Rules:

    • 6.1

      If a physician performs a minor procedure and provides a service warranting a claim for an office visit or a home visit on the same day, benefits for both may be claimed only if the services and diagnoses are unrelated.

    • 6.2

      If a service is provided in a hospital emergency department, AACC or UCC, only the minor procedure or the visit benefit, whichever is the greater, may be claimed, unless the problems are emergencies and the diagnoses are unrelated.

    • 6.7.1

      If a minor procedure (M or M+) is provided with a hospital visit on the same day, only the greater benefit HSC may be claimed.