CPT® Code 96913

Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and dressings)

Photochemotherapy, specifically techniques such as Goeckerman therapy and psoralen plus ultraviolet A (PUVA) therapy, is a specialized treatment approach utilized for managing severe photoresponsive dermatoses. These conditions include, but are not limited to, psoriasis, eczema, vitiligo, and mycosis fungoides, which are skin disorders that respond positively to light therapy. In PUVA therapy, the patient is administered psoralen, a medication that enhances the skin's sensitivity to UVA light, approximately two hours prior to exposure to the light source. This preparation is crucial as it maximizes the therapeutic effects of the subsequent light treatment. Goeckerman therapy, on the other hand, involves the application of coal tar to the affected skin areas, followed by exposure to UVA light. The entire procedure requires the patient to be under the direct supervision of a physician for a duration of 4 to 8 hours, ensuring that the treatment is administered safely and effectively. This supervision encompasses the time spent after the medication application and throughout the light therapy session. Additionally, post-treatment care may involve the physician applying dressings to the treated areas to promote healing and protect the skin.