1011T Pbm therapy of oral cavity
Also known as: Photodynamic therapy, PDT of mouth
Photodynamic therapy of oral cavity lesions. Light-activated treatment using photosensitizing agents to treat dysplasia or malignancy in mouth tissues.
In Plain Language
Light therapy for mouth lesions; Photochemical mouth treatment
Clinical Context
Category III investigational procedure for treatment of oral dysplasia, leukoplakia, or early-stage oral cancer using systemic or topical photosensitizers.
RVU Information
CPT 1011T does not have a physician work RVU assigned by CMS. Category III codes for emerging technology do not receive RVU assignments. Reimbursement is negotiated with individual payers.
Billing & Documentation
Category III codes are temporary codes for emerging technology, services, and procedures. They are not assigned RVU values by CMS. Coverage and reimbursement vary by payer — check with individual insurers before billing. These codes sunset after 5 years if not converted to Category I.
Specialties
Frequently Asked Questions
What is CPT code 1011T?
CPT 1011T (Pbm therapy of oral cavity) is a Category III code. Photodynamic therapy of oral cavity lesions. Light-activated treatment using photosensitizing agents to treat dysplasia or malignancy in mouth tissues.
Is 1011T a permanent CPT code?
No — 1011T is a Category III temporary code for emerging technology. It may be converted to a permanent Category I code if widely adopted. Category III codes expire after 5 years without renewal.
When is CPT 1011T used?
Category III investigational procedure for treatment of oral dysplasia, leukoplakia, or early-stage oral cancer using systemic or topical photosensitizers.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.