UVB Light for Skin Conditions — Your Info | Cytokind
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Step 2 of 4 · Your info

Let’s Start Your Coverage Check

This takes about five minutes. The order form has a patient section and a provider section — start with yours. You’ll need your basic information and a clear photo of the front and back of your insurance card.

Your privacy: Your information is submitted securely and shared only with your treating provider and our verification team — it’s never sold or used for marketing. Nothing is billed and no device ships at this stage; this simply starts your file.
  • Patient information — name, date of birth, address, phone, email.
  • Insurance card — a photo of the front and back. Your phone camera is fine.
Where to stop: Only fill in the sections about you — your contact details and your insurance card. As soon as the form asks for a doctor’s name, NPI number, or diagnosis, stop — that part is for your provider, not you. Press Save and the form will show you a unique link back to what you just entered. Copy that link — you’ll need it in the next step to send to your provider.

Cytokind — Physician Order Form

Patient sections first · provider completes and signs

Questions people actually ask

Stuck on any of this? Call us directly at +1 603-264-7751, or book a 10-minute call.
Is this really covered, or am I going to get a surprise bill?

Home narrowband UVB is a well-established covered benefit across most commercial plans and Medicare when medical necessity is documented — but coverage is never automatic and never universal. Your specific plan, deductible and co-insurance still apply. We verify your benefits before anything ships.

What if my insurance denies it?

Denials happen, and they’re frequently reversed. The most common reason is thin documentation. You’re not the one who has to fight it — Phothera Cares, Phothera’s patient assistance program, handles claims, prior authorizations and appeals on your behalf.

What if I still can’t afford my share of the cost?

Raise it with us early. Phothera Cares exists specifically to help with out-of-pocket expenses for patients who need therapy but can’t absorb the cost. It’s a separate application requiring a valid prescription, U.S. residency, recent tax or W-2 records, and insurance details. It is not insurance, and eligibility is decided by Phothera at their discretion.

Do I have to have failed other treatments first?

Usually, yes. Most plans expect to see that topicals or in-office phototherapy were tried and were ineffective, not tolerated, or impractical. That’s why your provider’s existing chart notes matter so much.

My doctor has never prescribed one of these. Is that a problem?

No. The form is built to walk them through it, and the printable provider brief answers the questions they’ll have. If they’d like to speak to someone at Cytokind before signing, we’re happy to take that call.

Can this be done entirely remotely?

Yes, as long as your provider already has clinical records on your condition. You fill in your section, save it, email them the link, and they complete, sign and submit electronically. No office visit is required for the paperwork itself.

How long does the whole thing take?

Your section takes about five minutes. After that, timing depends on your provider’s office and your insurer’s authorization process. The single biggest delay we see is incomplete chart notes.

Who is Phothera, and who am I actually buying from?

Phothera manufactures the phototherapy devices. Cytokind is an authorized distributor — we handle the order, the insurance coordination and your support. In most cases your insurer is the payer, not you.

Cytokind

Authorized distributor of Phothera narrowband UVB phototherapy systems

Provider Brief — Home Narrowband UVB Phototherapy

Your patient is requesting a prescription for a home NB-UVB phototherapy device. This page summarizes what is required to complete the order and support reimbursement.

What is being requested

A home narrowband UVB (311–313 nm) phototherapy unit, prescribed for a dermatologic indication and billed under the patient’s durable medical equipment benefit. Devices are manufactured by Phothera and distributed by Cytokind.

Device and diagnosis codes

Device (HCPCS)Common indications (ICD-10)
E0691 — Phothera 200, 2 sq ft (hand & foot)
E0692 — Phothera 400, 4 ft panel
E0693 — Phothera 600, 6 ft panel
E0694 — Phothera 600-3D, 6 ft		 L40.9 — Psoriasis
L20.9 — Atopic dermatitis
L80 — Vitiligo
L29.9 — Pruritus
L74.51 — Hyperhidrosis
C84.A3 — Cutaneous T-cell lymphoma
F33 — Seasonal affective disorder

What the order form requires from you

  • Provider information, including NPI number.
  • Device selection and diagnosis code.
  • Statement of medical necessity, including affected body surface area and severity (a BSA calculator is built into the form).
  • Previous treatments trialled, and the clinical rationale for home-based therapy.
  • Prescriber signature on the certification statement.

Supporting documentation

Clinical notes, chart notes or medical records documenting medical necessity may be uploaded directly to the form, or faxed alongside the order to 419.636.7916. Incomplete documentation is the most common cause of payer denial.

To complete the order: open the secure form at form.jotform.com/261756968405066, or use the resume link your patient has sent you. The form may be completed and signed electronically — no in-person visit is required.

Reimbursement support

Claims, prior authorizations and appeals on denied cases are handled through Phothera’s patient assistance program, Phothera Cares. Patients facing out-of-pocket barriers may also apply to that program separately; it is not insurance and eligibility is determined by Phothera.

Questions

Cytokind can speak with your office directly regarding device selection, documentation requirements, or benefit verification.

Cytokind, Inc. · 18 Forest Ring Drive, Intervale, NH 03845
+1 603-264-7751 · www.cytokind.net

Phothera narrowband UVB systems are prescription medical devices, FDA-cleared for the dermatologic indications listed above. Insurance coverage varies by plan and is subject to payer review of medical necessity documentation; nothing here constitutes a guarantee of coverage or payment. Cytokind is an authorized distributor of Phothera products; Phothera Cares is operated by Phothera. This document is provided for informational purposes and is not clinical guidance.