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Billing and Coding: Scalp Cooling for the Prevention of Chemotherapy-Induced Alopecia
A59371
Policy Summary
This billing and coding guidance complements LCD L39573 for scalp cooling to prevent chemotherapy-induced alopecia and requires that all related documentation be maintained in the patient’s medical record and be available to the contractor. Claims must include ICD-10-CM and CPT/HCPCS codes supported by the medical record, and coverage depends on documentation of medical necessity per the related LCD.
Coverage Criteria Preview
Key requirements from the full policy
"Scalp cooling is used for the prevention of chemotherapy-induced alopecia in patients receiving chemotherapy."
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