Medicare plans follow Medicare coverage, authorization and billing rules.
Treatment options available for vitiligo include use of topical and systemic immune suppressants, phototherapy and surgery for stable lesions, and phototherapy, especially narrow band ultraviolet therapy (NB-UVB).
Skin Conditions - 91456
Vitiligo treatment coverage
Priority Health covers only UV therapy as listed in the Skin Conditions medical policy.
For commercial group and individual plans, and usually for employer group Medicare plans, when treatment meets coverage criteria, it's covered at non-standard cost sharing.
If/when commercial employer group and MyPriority® individual plans cover certain surgeries, these surgeries are covered at a different cost-sharing level than our standard benefit coverage levels.
To verify member cost sharing, use the Member Inquiry tool and look in the Additional benefits drop-down menu for Certain surgeries benefit information.
Vitiligo treatment authorizations
Not required, except some medications require prior authorization. See drug authorization forms and the medical policy.
Vitiligo treatment billing
See the medical policy for codes that may apply and codes not covered.