Anthem Blue Cross Connecticut SURG.00138 Laser Treatment for Onychomycosis Form

This document addresses the proposed use of laser treatment for onychomycosis. Onychomycosis is a common and persistent fungal infection of the nail bed and plate, which is often challenging to treat. Conventional therapeutic options include topical or systemic antifungal agents; however, topical therapies are seldom effective since it is difficult to achieve local therapeutic concentrations, and individual adherence to long-term therapy is low. Systemic antifungal agents, while more effective, with approximately 50% of individuals achieving significant improvement or cure, are associated with higher rates of complications, including liver and kidney damage in some individuals with comorbidities. As a result, laser treatment has been introduced as an alternative, noninvasive treatment modality.

Position Statement

Investigational and Not Medically Necessary:

Laser treatment of onychomycosis is considered investigational and not medically necessary.