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Insurance & Reimbursement

If you suffer from hyperhidrosis, or have a loved one who struggles with the condition, you know that excessive sweating is serious - and that it significantly impacts daily life. As a serious medical condition with substantial negative effects on physical, emotional, and social well-being, hyperhidrosis deserves to be treated seriously by health insurance organizations.

If you and your healthcare provider are looking for diagnosis codes, here are the latest:

ICD-10 Codes (Effective Oct. 1, 2015)

L74.5 - Focal Hyperhidrosis
L74.51 - Primary Focal Hyperhidrosis
L74.510 - Axilla
L74.511 - Face
L74.512 - Palms
L74.513 - Soles
L74.519 - Unspecified
L74.52 - Secondary Focal Hyperhidrosis
L74.8 - Other Eccrine Sweat Disorders
L74.9 - Eccrine Sweat Disorder Unspecified

The tools listed below provide information and downloadable forms, and can help you work with your physician, health insurance plan, and even your employer to get the coverage you deserve for the treatments you need.

  • Find out if your health plan covers hyperhidrosis treatments
    Your insurance company may already cover hyperhidrosis treatments. Use this list of links to U.S. public hyperhidrosis coverage policies to find out. If you don't see yours, see if you can send us the link so we can post it for others.
  • Calculate the cost of hyperhidrosis
    This checklist can help you calculate how much money you spend managing excessive sweat. Use your answers to help convince your insurance plan that you deserve reimbursement for treatments. Or, if you have to pay for treatments out-of-pocket, the checklist may help you to see that the investment makes economic, as well as emotional, sense.
  • Learn how to request reimbursement
    Have you been denied coverage for your hyperhidrosis treatments? You do have recourse. Follow this step-by-step guide to appealing your health plan’s decision.
  • Download a Letter of Medical Necessity
    Add proof to your case, download this sample Letter of Medical Necessity and have your doctor submit it to your insurance company as proof that your hyperhidrosis needs treatment.
  • Download Hyperhidrosis Preauthorization Request Form
    Similar to the Letter of Medical Necessity, this form should be completed by your physician and submitted to your insurance company. It demonstrates that you’ve been diagnosed with hyperhidrosis, lists the treatments that you’ve tried (and that have been unsuccessful), and states the treatment that your physician is recommending.
  • Download Medical Insurance Statement Form for the purchase of a home-use iontophoresis machine
    Looking to purchase an iontophoresis device to treat hyperhidrosis of your hands or feet? You may be able to receive reimbursement for your home-use iontophoresis machine. Download this form and ask your doctor to complete it and submit it to your health insurer.
  • Get help with Botox reimbursement
    If you are seeking reimbursement for treatment with Botox specifically, you may find help through Allergan's Botox Reimbursement Hotline.
  • Consider Clinical Trials. While not technically insurance-related, clinical trials are another potential avenue for anyone seeking treatment for hyperhidrosis. Clinical trials help to further medical science's understanding of a condition and its therapy. To learn more about clinical trials, how they can make treatment more affordable (even free), and whether you may be eligible to participate in a hyperhidrosis trial, visit the Clinical and Market Research page in our Take Action! section.
  • Subscribe to our News Blog. Often during our medical education sessions, we allow patients to receive free treatment. We always announce these opportunities first to our subscribers.

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