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Dermatology | Clinical Review Criteria

Criteria | Codes | Revision History 2002 Kaiser Foundation Health Plan of Washington. All Rights Reserved. Back to Top Kaiser Foundation Health Plan of Washington Clinical Review Criteria Dermatology Services Cosmetic vs Medical for the following: Alopecia, Keloids, Laser Treatments, Benign Lesions Broad Band UVB Therapy Excimer Laser for Vitiligo Home Narrow Band UVB Therapy for Psoriasis Narrow Band UVB Therapy PUVA Therapy UV Lights NOTICE: Kaiser Foundation Health Plan of Washington and Kaiser Foundation Health Plan of Washington Options, Inc., provide these Clinical Review Criteria for internal use by their members and health care providers. The Clinical Review Criteria only apply to Kaiser Foundation Health Plan of Washington and Kaiser Foundation Health Plan of Washington Options, Inc. Use of the Clinical Review Criteria or any Kaiser Permanente entity name, logo, trade name, trademark, or service mark for marketing or publicity purposes, including on any website, or in any press release or promotional material, is strictly prohibited.

Clinical Review Criteria . Dermatology Services . Cosmetic vs Medical for the following: • Alopecia, Keloids, Laser Treatments, Benign Lesions • Broad Band UVB Therapy • Excimer Laser for Vitiligo • Home Narrow Band UVB Therapy forPsoriasis • Narrow Band UVB Therapy

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  Review, Clinical, Dermatology, Clinical review

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