CAM 20106

Hypnosis

Category:Medicine   Last Reviewed:June 2019
Department(s):Medical Affairs   Next Review:June 2020
Original Date:December 1995    

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.

Hypnosis as an adjunct to psychotherapy is considered part of the psychotherapy services and is not separately reimbursed.

Hypnosis used as an anesthesia is considered INVESTIGATIONAL.

Any other use of hypnotherapy is considered NOT MEDICALLY NECESSARY.

References:

  1. Mjoseth J., American Psychological Association: Hypnosis allies are urging insurers to raise coverage.

Coding Section

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    
ICD-10-PCS (effective 10/01/15)  GZFZZZZ Hypnosis 
Type of Service Medical  
Place of Service Outpatient   

Procedure and diagnosis codes on Medical Policy documents are included only as a general reference tool for each policy. They may not be all-inclusive.

Policy to remain active, but will not undergo scheduled review after 2015.

Index
Hypnosis

This medical policy was developed through consideration of peer-reviewed medical literature generally recognized by the relevant medical community, U.S. FDA approval status, nationally accepted standards of medical practice and accepted standards of medical practice in this community, Blue Cross and Blue Shield Association technology assessment program (TEC) and other non-affiliated technology evaluation centers, reference to federal regulations, other plan medical policies and accredited national guidelines.

"Current Procedural Terminology© American Medical Association.  All Rights Reserved" 

History From 2013 Forward     

06/03/2019 

Annual review, no change to policy intent. 

06/04/2018 

Interim review, rewording statement regarding hypnotherapy as an adjunct to therapy and adding investigational statement regarding uses other than pain control and adjunctive treatment. 

12/20/2017

Annual review, no change to policy intent. 

12/29/2016 

Approved by Mgmt. Please Proof and Forward. 

11/5/2015 

Annual review, no change to policy intent.

09/21/2015 

Added ICD-10 codes. 

12/01/2014 

Annual review, no change to policy intent. Added coding.

12/9/2013

Annual Review. No changes made.

 


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