MP 2.01.06 |
Hypnosis |
|
| Medical Policy | ||
| Section Medicine |
Original Policy Date 12/1/95 |
Last Review Status/Date No routine review scheduled/1:2003 |
| Issue 1:2003 |
Return to Medical Policy Index |
Disclaimer
Our medical policies are designed for informational purposes only and are not an authorization, or an explanation of benefits, or a contract. Receipt of benefits is subject to satisfaction of all terms and conditions of the coverage. Medical technology is constantly changing, and we reserve the right to review and update our policies periodically.
Description
Hypnosis is an induced state in which there is an increased amenability and responsiveness to suggestions and commands.
Policy
Hypnosis is considered medically necessary when used to control acute or chronic pain, or as an adjunct to psychotherapy.
Hypnosis used as an anesthesia is considered investigational.
Policy Guidelines
No applicable information
Benefit Application
BlueCard/National Account Issues
Hypnosis is payable as an integral part of a medical visit at the level of care rendered (e.g., brief, intermediate) or as an integral part of psychotherapy. It is not a separate benefit.
Rationale
A search of the literature was completed through the MEDLINE database for the period of January 1992 through April 1995. The search strategy focused on references containing the following Medical Subject Headings:
– Hypnosis
Research was limited to English-language journals on humans.
|
Codes |
Number |
Description |
| CPT | 90880 | Medical hypnotherapy |
| ICD-9 Procedure | 94.32 | Hypnosis (psychotherapeutic) for anesthesia |
| ICD-9 Diagnosis | Acute pain and chronic pain. See “pain” for part of body in ICD-9. Psychotherapy: See specific mental diagnosis in ICD-9 | |
| HCPCS | No code | |
| Type of Service | Medical | |
| Place of Service | Outpatient | |
Index
Hypnosis
Policy History
| Date | Action | Reason |
| 12/1/95 | Add to Medicine section | New Policy |
| 08/18/00 | Replace Policy | Archived Policy |
| 07/12/02 | Replace Policy | Policy reviewed without literature review; new review date only |
| 04/29/03 | Replace Policy | Policy no longer scheduled for literature review. |
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