Excimer Laser, Dermabrasion and Chemical Peels for Dermatologic Conditions - (0505)

Cigna covers office‑based targeted excimer laser (308 nm) only for localized plaque psoriasis refractory to topical agents/phototherapy and for localized vitiligo after documented 12‑week failures or contraindications to both a topical corticosteroid and a topical calcineurin inhibitor, and covers dermabrasion (CPT 15780–15782) and dermal chemical peels (CPT 15789, 15793) only for diffuse actinic keratoses (e.g., ≥10 lesions) after failure/intolerance/contraindication to conventional field therapies; all other indications (including many listed dermatologic conditions), superficial/microdermabrasion, epidermal peels, chemical exfoliation, and cosmetic procedures are excluded. Documentation of prior therapies and durations, lesion count/distribution, supporting ICD‑10 diagnosis, relevant contraindications (e.g., photosensitivity/porphyria/SLE), and evidence of clinical benefit for continued treatment is required, and claims without the specified CPT/ICD codes or required documentation will be denied (plan-level coverage for peels/dermabrasion may vary).