How To Use CPT Code 97028

CPT 97028 describes the application of ultraviolet rays to one or more areas of the body for the treatment of certain skin ailments. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 97028?

CPT 97028 can be used to describe the application of ultraviolet rays to one or more areas of the body for the treatment of skin disorders such as dermatitis or vitiligo. This procedure involves using a fluorescent lamp to deliver the ultraviolet rays, which have the unique property of improving blood circulation and stimulating collagen production to repair damaged tissue.

2. Official Description

The official description of CPT code 97028 is: ‘Application of a modality to one or more areas; ultraviolet.’

3. Procedure

1. The provider assesses the patient’s skin condition and determines the need for ultraviolet therapy.
2. A fluorescent lamp is used to deliver ultraviolet rays to the affected area(s) of the body.
3. The provider may treat one or more areas in the same session.
4. The ultraviolet rays improve blood circulation and stimulate collagen production to repair damaged tissue.
5. The procedure may be repeated as necessary to achieve the desired therapeutic effect.

4. Qualifying circumstances

Patients eligible for CPT 97028 are those with skin disorders such as dermatitis or vitiligo that can benefit from ultraviolet therapy. The provider must assess the patient’s condition and determine the need for this specific treatment modality. The procedure is typically performed by a healthcare professional trained in administering ultraviolet therapy.

5. When to use CPT code 97028

CPT code 97028 should be used when the provider applies ultraviolet rays to one or more areas of the body for the treatment of skin disorders. It is important to ensure that the patient’s condition warrants the use of this specific modality and that the provider is trained in administering ultraviolet therapy.

6. Documentation requirements

To support a claim for CPT 97028, the provider must document the following information:

• Patient’s diagnosis and the need for ultraviolet therapy
• Specific areas of the body treated with ultraviolet rays
• Date and duration of the procedure
• Progress made by the patient and any additional sessions scheduled
• Signature of the healthcare professional providing the service

7. Billing guidelines

When billing for CPT 97028, ensure that the provider is applying ultraviolet rays to one or more areas of the body. It is important to follow the specific guidelines for reporting this code and to consider any additional codes that may be necessary to accurately reflect the services provided. Be aware of any bundling or unbundling rules that may apply to this code.

8. Historical information

CPT 97028 was added to the Current Procedural Terminology system on January 1, 1990. The code underwent a change on January 1, 2009, with the updated description reflecting the application of a modality to one or more areas using ultraviolet rays.

9. Examples

1. A dermatologist applying ultraviolet rays to a patient’s arms to treat vitiligo.
2. A physical therapist using ultraviolet therapy on a patient’s legs to alleviate symptoms of dermatitis.
3. A plastic surgeon administering ultraviolet rays to a patient’s face to improve collagen production and reduce the appearance of scars.
4. An occupational therapist applying ultraviolet therapy to a patient’s hands to treat a skin disorder caused by occupational exposure.
5. A dermatology nurse using ultraviolet rays to treat multiple areas of a patient’s body affected by dermatitis.
6. A rheumatologist applying ultraviolet therapy to a patient’s joints to reduce inflammation and pain associated with a skin-related autoimmune condition.
7. A cosmetic dermatologist using ultraviolet rays to rejuvenate the skin on a patient’s neck and chest.
8. A podiatrist administering ultraviolet therapy to a patient’s feet to treat a fungal infection.
9. A plastic surgeon applying ultraviolet rays to a patient’s scalp to stimulate hair growth.
10. A physical therapist using ultraviolet therapy on a patient’s back to alleviate symptoms of psoriasis.