Unlocking Medically Necessary Treatments at Our Medspa with Insurance Coverage

Many people associate medspas with elective cosmetic treatments, but did you know that several procedures can be covered by insurance when deemed medically necessary? At our medspa, we provide treatments that go beyond aesthetics and address genuine medical concerns. By accepting insurance, we ensure that patients receive the care they need without unnecessary financial burden.

Medically Necessary Services We Offer

1. Office Visits

Before undergoing any treatment, a thorough evaluation is essential. We offer comprehensive office visits for both new and established patients to assess their skin concerns and determine the best course of action.

• New Patient Visit – A complete dermatological evaluation to diagnose and plan treatments.
  
• Established Patient Visit – Follow-ups to monitor progress and adjust treatments as necessary.

2. Laser Therapy for Skin Conditions

Laser therapy is not just for aesthetic improvements; it plays a crucial role in treating medical skin conditions. Our advanced laser treatments are covered by insurance when used to address conditions such as burns, scars, and other skin-related concerns.

• CPT 96920 – Treatment area less than 250 cm²
  
• CPT 96921 – Treatment area between 250 cm² and 500 cm²
  
• CPT 96922 – Treatment area greater than 500 cm²

3. Acne Surgery

For patients with persistent and severe acne, simple topical treatments may not be enough. Acne surgery involves procedures like drainage, extraction, and excision of stubborn acne lesions.

• CPT 10040 – Includes marsupialization, opening, removal of multiple milia, comedones, cysts, pustules, and acne lesion extractions.

4. Chemical Exfoliation (Acne Peel)

Chemical peels aren’t just for beauty—they can be an essential treatment for acne-prone skin.

• CPT 17360 – Salicylic acid peels help reduce acne breakouts by unclogging pores and reducing inflammation.

5. Dermabrasion for Skin Texture and Scars

Dermabrasion is a highly effective treatment for improving skin texture and reducing scars. This treatment is considered medically necessary when addressing certain skin conditions or severe acne scarring.

• CPT 15780 – Full-face dermabrasion
  
• CPT 15781 – Segmental dermabrasion for facial areas
  
• CPT 15782 – Regional dermabrasion for non-facial areas
  
• CPT 15783 – Superficial dermabrasion for any site

6. Chemical Peels for Skin Conditions

Certain chemical peels are prescribed to treat skin conditions like hyperpigmentation, scarring, and chronic acne.

• CPT 15788 – Epidermal chemical peel for facial skin
  
• CPT 15789 – Deeper dermal chemical peel for the face
  
• CPT 15792 – Epidermal chemical peel for non-facial skin
  
• CPT 15793 – Dermal chemical peel for non-facial areas

7. Medically Necessary Hair Removal

While laser hair removal is typically considered cosmetic, electrolysis hair removal is covered by insurance in cases where excessive hair growth is due to a medical condition.

• CPT 17380 – Electrolysis epilation for medically necessary hair removal but at this time the use of Laser is not consider of medical necessity.

How to Use Your Insurance for These Treatments

We make the process easy by verifying your insurance coverage before treatment. Our knowledgeable staff will assist you in determining eligibility and obtaining any necessary prior authorizations. During your consultation, we will discuss your condition and provide documentation to ensure a smooth approval process.

Take Advantage of Insurance-Covered Treatments at Our Medspa

If you have a medical skin concern that requires professional treatment, don’t let cost stand in the way of getting the care you need. Schedule a consultation today, and let us help you navigate your insurance options for medically necessary skin treatments.