Tuesday, December 8, 2015

Clinical Corner - Cryotherapy Reimbursement

Question: We have a patient that has a history of persistent CIN I and the provider wants to do cryotherapy instead of a LEEP. The provider states that a LEEP is too invasive and cryotherapy is more appropriate. Can we use WWC funds for this procedure?

Answer: Cryotherapy is considered treatment for this patient and WWC funds cannot be used for treatment. WWC reimburses for diagnostic LEEPs only. WWC would not cover the LEEP if it is for treatment purposes.

If you have a clinical question that you would like answered, please email Angela.FellersLeMire@state.co.us.

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