• Epilation Sooner than Eight Weeks

    Question: We have a patient that returns frequently for epilation. He would like to come sooner than eight weeks and feels that it is medically appropriate. We did bill and received a denial due to frequency from Medicare. How do we get this paid?

    Answer: Although it may be necessary, Medicare typically does not allow for CPT code 67820 to be billed sooner than eight weeks as it usually takes that time frame for lashes to grow. You can appeal with documentation stating why your physician feels it is medically necessary. However, they still may not pay. You may need an ABN on file and the patient may be responsible for the service.

    Learn more about minor surgeries in the Learn to Code the Essentials.