Hypnosis - CAM 20106HB
Description:
Hypnosis is an induced state in which there is an increased amenability and responsiveness to suggestions and commands.
Policy:
Hypnosis is considered MEDICALLY NECESSARY when used to control acute or chronic pain.
Hypnosis as an adjunct to psychotherapy is considered part of the psychotherapy services and is not separately reimbursed.
Hypnosis used as an anesthesia is considered INVESTIGATIONAL.
Any other use of hypnotherapy is considered NOT MEDICALLY NECESSARY.
References:
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Mjoseth J., American Psychological Association: Hypnosis allies are urging insurers to raise coverage.
Coding Section
| Codes | Number | Description |
| CPT | 90880 | Medical Hypnotherapy |
| ICD-9 Procedure | 94.32 | Hypnosis (psychotherapeutic) for anesthesia |
| ICD-9 Diagnosis | Acute pain and chronic pain. See "pain" for part of body in ICD-9. Psychotherapy: See specific mental diagnosis in ICD-9 | |
| HCPCS | No code | |
| ICD-10-PCS (effective 10/01/15) | GZFZZZZ | Hypnosis |
| Type of Service | Medical | |
| Place of Service | Outpatient |
Procedure and diagnosis codes on Medical Policy documents are included only as a general reference tool for each policy. They may not be all-inclusive.
Policy to remain active but will not undergo scheduled review after 2015.
Index
Hypnosis
This medical policy was developed through consideration of peer-reviewed medical literature generally recognized by the relevant medical community, U.S. FDA approval status, nationally accepted standards of medical practice and accepted standards of medical practice in this community, Blue Cross Blue Shield Association technology assessment program (TEC) and other nonaffiliated technology evaluation centers, reference to federal regulations, other plan medical policies and accredited national guidelines.
"Current Procedural Terminology © American Medical Association. All Rights Reserved"
History From 2024 Forward
| 07/08/2024 Annual review, no change to policy intent 01/01/2024 NEW POLICY |
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