Payer PolicyActive
SURG.00138 Laser Treatment for Onychomycosis
ANTHEM-SURG.00138
Anthem
Effective: January 30, 2025
Updated: December 30, 2025
Policy Summary
This policy addresses laser treatment for onychomycosis (fungal nail infection). Anthem considers laser therapy investigational/experimental and not medically necessary; therefore, it is not covered for treatment of onychomycosis. This applies to fingernail and toenail disease (ICD-10 B35.1) and services typically billed under unlisted procedure codes 17999 or 96999; no coverage exceptions or medical-necessity criteria are provided.
Coverage Criteria Preview
Key requirements from the full policy
"Laser treatment of onychomycosis is consideredinvestigational and not medically necessary."
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