Light and Laser Therapy – Commercial and Individual Exchange Medical Policyopen_in_new
UHC-POL-light-laser-therapy
UnitedHealthcare covers pulsed dye laser for port‑wine stains and cutaneous hemangiomas, laser hair removal as an adjunct to surgery for pilonidal sinus disease, and fractional ablative laser fenestration of hypertrophic burn scars only when there is documented functional impairment and failure of at least one conventional therapy; acne, onychomycosis, rhinophyma, rosacea are deemed unproven/not medically necessary and excimer laser for vitiligo is considered cosmetic/not medically necessary. Coverage requires member‑specific plan benefits and supporting clinical documentation (e.g., surgical history for pilonidal disease, documentation of functional limitation and prior treatments for burn scars), and FDA clearance alone does not establish coverage; applicable CPT/ICD coding may be required.
"Pulsed dye laser therapy is proven and medically necessary for treating the following: - Port-wine stains - Cutaneous hemangioma/hemangiomata"