Does 89230 require prior authorization?

No, 89230 does not require prior authorization (high confidence). Code is covered without prior authorization.

What is the Medicare reimbursement rate for 89230?

Medicare facility rate: $3.01. Non-facility rate: $3.01. Work RVU: 0.00.

HCPCS/CPT

No Prior Auth Required

Code is covered without prior authorization (high confidence)

Work RVU

0.00

Facility

$3.01

Non-Facility

$3.01

For any iontophoretic dermatologic or ophthalmologic application: documentation of agent(s) used, concentrations, device/model, current and duration parameters, and monitoring for local adverse effects (erythema, burns, corneal complications, etc.).
No documentation requirements are stated in this document chunk (bibliography).
For primary focal hyperhidrosis: documentation that the member is unresponsive to or unable to tolerate oral pharmacotherapy for excessive sweating (examples given: anti-cholinergics, beta-blockers, benzodiazepines).
For primary focal hyperhidrosis: documentation that significant disruption of professional and/or social life has occurred because of excessive sweating.

(Inferred from references) Iontophoresis for treatment of rheumatoid arthritic knees
(Inferred from references) Transepithelial iontophoresis corneal collagen cross-linking for progressive keratoconus
(Inferred from references) Whole-finger iontophoresis to increase blood flow in systemic sclerosis
(Inferred from references) Transdermal iontophoretic drug delivery platforms/technologies (general)
(Inferred from references) Conservative treatments, including iontophoresis, for patellar tendinopathy
(Inferred from references) Alternatives to oral opioids for cancer/postoperative pain including fentanyl iontophoretic transdermal system (ITS)

AETNA-CPB-0229 — Iontophoresis

Ask Verity about documentation requirements, denial risks, or coverage in your state.