Fluorescent Imaging Billing Claims Policy
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Defines Longevity Health Plan's claims payment and denial policy for noncontact real-time fluorescent wound imaging (CPT codes 0598T and 0599T) for LHP members and providers submitting claims.
Effective 9/1/2025, LHP denies claims submitted by providers with codes 0598T and 0599T as the procedure is experimental and not appropriate for our members.
Coverage Stance
Coverage stance for fluorescent imaging
Payment stance and governing reference
ALL of the following
- LHP references Medicare guidance when determining claims payments and refers to the LHP Utilization Management Wound Care Policy (UM.019) for further clinical rationale.
Governing references
- Medicare guidance (as referenced by LHP) is used to determine claims payments.
- See LHP UM Policy UM.019 (Wound Care Policy) for additional clinical rationale supporting the denial.
Billing codes affected
ALL of the following
- Denial effective date: 9/1/2025.
ALL of the following
- Coverage stance: Not covered / denied (experimental; not appropriate for members).
Relevant CPT / HCPCS Codes
Billing and Denial Guidance for Providers
Denial of fluorescent imaging CPT codes 0598T and 0599T
Claims submitted with CPT codes 0598T (first anatomic site) and 0599T (each additional anatomic site) will be denied because the procedure is considered experimental and not appropriate for members. The denial is operationally effective 9/1/2025; see LHP Utilization Management Wound Care Policy (UM.019) for further clinical rationale.
Key Terms
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