7 commercial payer policies list 96574. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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7 policies from 5 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 96574 |
|---|---|---|
| Photodynamic Therapy | Jun 21, 2023 | Covered |
| Surgical Devices, Dressings, and Wound Care Supplies | Jul 20, 2023 | Covered |
| Verteporfin (Visudyne) Photodynamic Therapy | Jun 29, 2023 | Covered |
| Policy | Effective | Status of 96574 |
|---|---|---|
| Dermatologic Applications of Photodynamic Therapy | Apr 15, 2026 | Covered |
| Policy | Effective | Status of 96574 |
|---|---|---|
| Dermatologic Applications of Photodynamic Therapy | Apr 15, 2026 | Covered |
| Policy | Effective | Status of 96574 |
|---|---|---|
| Dermatologic Applications of Photodynamic Therapy | Apr 15, 2026 | Covered |
| Policy | Effective | Status of 96574 |
|---|---|---|
| Dermatologic Applications of Photodynamic Therapy | Apr 15, 2026 | Covered |