- Presence of medical complications or skin maceration with secondary infection; or
- Significant functional impairment, as documented in the medical record.
Botulinum toxin is considered medically necessary in the treatment of secondary hyperhidrosis when the condition is related to surgical complications and both of the following criteria are met:
- Presence of medical complications or skin maceration with secondary infection; and
- Significant functional impairment, as documented in the medical record.
Treatment of primary axillary or palmar hyperhidrosis with endoscopic thoracic sympathectomy is consideredmedically necessary in the small subset of individuals with hyperhidrosis where both of the following criteria (1 and 2) have been met:
- It has been adequately documented that all efforts at nonsurgical therapy have failed; and
- Either of the following:
- Presence of medical complications or skin maceration with secondary infection; or
- Significant functional impairment, as documented in the medical records;
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