At present, the ML830™ Laser does not have its own billing code, because, as is the case for other new technologies, the issuance of a new billing code can take years. (Note: The ML830™ Laser received FDA permission to market in 2002). In the interim, physicians routinely employ a "best fit" approach when employing new technologies. For example, arthroscopy and CAT scan evaluations did not have their own billing codes for many years. When no specific code is available, physicians have been instructed to use the closest appropriate billing code or the unlisted procedure code in the most appropriate section of the Physicians' Current Procedural Terminology (CPT 2002, Professional Edition, American Medical Association, Chicago, IL, 2000.)

Presently, the most frequently used billing code has been a Physical Medicine and Rehabilitation Constant Attendance code 97039 Unlisted Modality (specify constant therapy for 30 minutes). This is billed per unit (15 minutes) basis so anything over 15 minutes is two units. The use of this code is recommend based on policies determined in response to inquiries to various local insurance entities throughout the country and Workers' Compensation Commission Guidelines.

Generally, with first time claims with a specific carrier, an explanation is enclosed stating that the code being submitted for a new therapy recently approved by the FDA. Actual amounts of reimbursement can vary widely according to location and carrier.


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