Once gain we run into a wall with an insurance company, this time it’s Humana. It’s difficult to comprehend but Humana gave chosen to only cover certain sizes of UV Phototherapy Equipment for home use.
We (AMJO CORP) have never run into this before.
There are four HCPCS Codes that we typically file under, these are E0691, E0692, E0693 and E0694, all essentially defining the same equipment in different size ranges.
| Description | HCPCS Code | ||
| Ultraviolet light therapy system panel, includes bulbs/lamps, timer, and eye protection; treatment area 2 sq. ft. or less | E0691 | Covered | |
| Ultraviolet light therapy system panel, includes bulbs/lamps, timer, and eye protection, 4 ft. panel | E0692 | Covered | |
| Ultraviolet light therapy system panel, includes bulbs/lamps, timer, and eye protection, 6 ft. panel | E0693 | Covered | |
| Ultraviolet multidirectional light therapy system in 6 ft. cabinet, includes bulbs/lamps, timer, and eye protection | E0694 | Not Covered |
It seems insane to me that they do not cover all four codes. All the other insurance companies do, some have different allowable amounts for each class but to my knowledge, Humana is the only one that differentiates between the codes.
Medicare does cover E0694 for Psoriasis but not for other diseases.
Read Humana’s Policy (Click Here) (See Page 7 and 
Once again we are befuddled by an insurance company!
Although not tested yet, Humana’s policy does read “To qualify for home services, members must be confined to the home, or the condition is such that leaving the home for required services would require considerable effort, impose significant hardship, or expose the patient to undesirable risk.” This sentence may cause claims to be denied also.
Basically, If I had an option I would not choose Humana as an insurance company if I were expecting to benefit from insurance coverage for Ultraviolet UVB Narrow Band) Therapy.
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