Laser treatment of port wine stains in the presence of functional impairment related to the port wine stains may be considered medically necessary. (See Benefit Application section regarding reconstructive services.) Treatment of port wine stains with lasers in combination with photodynamic therapy or topical angiogenesis inhibitors is considered investigational.
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1441 F.D. Roosevelt Ave.
San Juan, P.R. 00936
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San Juan, P.R. 00936-3628