Is There a CPT Code for Mona Lisa Laser? Everything You Need to Know

So let’s break it down clearly, simply, and honestly no medical jargon, no confusing billing language. Just real answers.

First, What Exactly Is MonaLisa Touch?

MonaLisa Touch is a laser treatment for women who experience vaginal dryness, discomfort during sex, burning, itching, or urinary problems, symptoms that are extremely common after menopause or after cancer treatments like chemotherapy and radiation. It uses a gentle CO2 laser to stimulate collagen production inside the vaginal walls. Think of it as waking up the tissue that has become thin and dry over time and encouraging it to heal naturally without hormones. The procedure takes about five minutes, happens right in your doctor’s office, and requires no anesthesia. Most women need three sessions spaced about six weeks apart to see the best results. For women who cannot use estrogen-based treatments, especially breast cancer survivors, this has been a genuinely life-changing option. And that’s exactly why so many people want to know if insurance will pick up the tab.

Is There a CPT Code for MonaLisa Touch?

Here’s the straightforward answer: no, there is no dedicated CPT code specifically for MonaLisa Touch. CPT codes are the standardized codes that doctors use to bill insurance companies for procedures. Every common medical procedure has one. But because MonaLisa Touch is a relatively newer treatment and because insurers largely still consider it elective the American Medical Association has not created a unique code for it. That doesn’t mean providers can’t bill for it. It just means they have to use codes that come close to describing what the procedure involves. Here are the ones most commonly used: Unlisted Procedure Code 58999: This is the option that most people use. This code is for procedures on women’s genitals that don’t fit into any of the other categories. Most providers use this code and include a full description of the procedure and the medical reason for it. CPT 57150: This code is for putting medicine or water into the vagina. Some providers use it as a workaround, but it’s not a perfect fit. CPT 57022 means a procedure that cuts into the vagina. Sometimes mentioned but not often used for laser therapy. CPT 57287 is used when urinary incontinence is the main reason for treatment. It’s not as easy as just entering a code and sending in a claim to get paid. Providers almost always have to write a letter explaining why the medical treatment was necessary, including the patient’s diagnosis, and explain why standard treatments weren’t appropriate or effective. The billing process isn’t as simple as plugging in a code and submitting a claim. Providers almost always need to write a letter explaining the medical necessity, attach the patient’s diagnosis, and document why standard treatments were not appropriate or effective. If your practice struggles with complex coding, A2Z Billings’ medical coding services can help ensure accurate code selection and proper documentation every time.  

What About Cold Laser or Class IV Laser Codes?

You might have seen terms like “cold laser therapy CPT code” or “CPT code for class IV laser therapy” if you’ve been looking online.” These are very different ways of doing things in physical therapy and pain management, but not in gynecological care.  Cold laser therapy (also called low-level laser therapy) is typically billed under CPT 97026. Class IV laser therapy often falls under CPT 97039. And laser interstitial thermal therapy – a neurosurgical procedure – uses CPT 61736 or 61737. None of these has anything to do with MonaLisa Touch. They exist in an entirely different medical world, so don’t let the overlap in terminology confuse you. None of these has anything to do with MonaLisa Touch. They exist in an entirely different medical world, so don’t let the overlap in terminology confuse you. For specialty-specific billing questions like these, working with experts in the right field matters – A2Z Billings offers dedicated OB & Gynecology billing services that understand the nuances of women’s health coding. 

Is MonaLisa Touch Covered by Insurance?

This is the part most women are really waiting to hear about – and unfortunately, the answer is mostly disappointing. Most private health insurance plans do not cover MonaLisa Touch. Insurers classify it as elective or cosmetic, even when it’s being used to treat a real, diagnosed medical condition that significantly affects a woman’s quality of life. The absence of a dedicated CPT code makes it even harder to get reimbursed. It feels unfair – and many women and advocates would agree with that. But as things stand today, this is the reality.

Is MonaLisa Touch Covered by Medicare?

No, Medicare does not cover MonaLisa Touch for vaginal atrophy or menopause-related genitourinary syndrome right now. There is one situation where women may have a slightly stronger case: if cancer treatment, like chemotherapy, radiation, or hormone-blocking therapies, directly caused vaginal atrophy. In those situations, providers can file a detailed medical necessity claim. It’s not common for approvals to happen, but they do happen from time to time, so it’s worth asking your doctor to try. 

Can You Use HSA or FSA Money?

Yes – and this is actually one of the best options available for most women. If you have a Health Savings Account (HSA) or a Flexible Spending Account (FSA), you may be able to use those pre-tax dollars to pay for MonaLisa Touch when it’s prescribed for a medical condition. This won’t make the procedure free, but it does reduce the effective cost since you’re using money that was never taxed. Always check with your plan administrator or HR department before assuming this applies to your account, since rules can vary.

How Much Does MonaLisa Touch Cost?

Since most women end up paying out of pocket, understanding the cost is important before making a decision. Prices vary depending on where you live and which provider you see, but here’s a general idea of what to expect:

• A single session typically costs between $800 and $1,200
• A full course of three sessions usually runs $2,400 to $3,600
• Annual maintenance sessions (recommended to keep results) generally cost $200 to $500

Certain clinics provide discounted rates for a package of services or to patients who pay in full. Always ask for a written cost estimate before signing anything, and compare prices between providers in your area.

MonaLisa Touch vs Estrogen Cream – Which Should You Choose?

This is a question worth spending time on, because the right answer genuinely depends on your personal health situation. Vaginal estrogen cream whether applied as a cream, tablet, or ring is the standard first-line treatment for vaginal atrophy. It’s well-studied, highly effective, and covered by most insurance plans. For the majority of women going through menopause, it works really well and costs very little compared to laser therapy. MonaLisa Touch becomes a more relevant option in specific situations. If you’ve had a hormone-sensitive cancer like breast cancer, your oncologist may advise against any form of estrogen, even the low doses used in vaginal creams. In that case, MonaLisa Touch offers a hormone-free path to relief that doesn’t carry the same concerns. If you can safely use estrogen, it’s almost always the more practical and affordable starting point. If you cannot or if estrogen hasn’t worked for you then MonaLisa Touch is absolutely worth a serious conversation with your doctor.

Honest Pros and Cons of MonaLisa Touch

What works in its favor:

• It’s completely hormone-free, which matters a lot for cancer survivors
• The procedure is quick, painless, and done right in the office
• No recovery time, most women go back to normal activities the same day
• Results typically last 12 to 18 months
• It can help with urinary symptoms too, not just vaginal dryness
• Many women report significant improvement in their quality of life

What to keep in mind before deciding:

• Insurance almost never covers it, so costs add up
• You’ll need annual maintenance sessions to keep the results
• The billing process is complicated due to the lack of a dedicated CPT code
• The FDA has raised concerns about how some clinics market the procedure
• Long-term data from large randomized trials is still limited
• It’s not recommended as a first-line treatment by most major medical guidelines

What to Expect Before and After the Procedure

Your doctor will probably look over your medical history, check diagnoses before your session and disclose to you how the laser functions and what to expect during or after the treatment. The technique involves inserting a small probe into the vaginal canal that then delivers low-level laser energy to the tissue. Most women describe it as a gentle warmth or vibration not painful, although somewhat uncomfortable. After each session:

• Light spotting or discharge for a day or two is normal
• Avoid sexual intercourse for about two to three days
• You can resume most activities immediately

Most women start to notice improvements around four to six weeks after the first session. After completing all three sessions, the improvements in dryness, discomfort, and urinary symptoms tend to be most noticeable. Your doctor will likely recommend a maintenance session once a year to keep things working well.

Can You Appeal an Insurance Denial?

Yes – and you should. If your insurance company denies coverage, ask your doctor to help you submit a formal appeal. The appeal should include:

• A letter of medical necessity explaining your diagnosis and why this treatment is appropriate
• Documentation showing that standard treatments like estrogen were tried and failed, or are contraindicated
• Your official diagnosis code (commonly N95.2 for postmenopausal atrophic vaginitis)

Appeals don’t always succeed, but they sometimes do especially when there’s a documented cancer history or when all other treatments have genuinely failed. It costs nothing to try.

Are There Alternatives With Better Insurance Coverage?

If insurance coverage is a priority for you, there are effective alternatives that are typically covered: Vaginal estrogen in cream, tablet (Vagifem), or ring (Estring) form is covered by most plans and Medicare with a prescription. It remains the most widely recommended treatment for vaginal atrophy. Ospemifene (Osphena) is a non-estrogen oral tablet approved for painful intercourse due to menopause-related changes. It’s covered by many insurance plans. Intravaginal DHEA (Intrarosa) is another hormone-related option that works locally and is covered by many plans. It’s worth discussing with your gynecologist. These options won’t work for everyone particularly women with hormone-sensitive cancer histories. But for many women, they provide real relief at a fraction of the cost.

FAQs

Q1: Is there a CPT code specifically for MonaLisa Touch laser treatment? No, there is no dedicated CPT code for MonaLisa Touch. Since insurance companies mostly treat it as an elective procedure, the American Medical Association has not assigned it a unique billing code. Providers typically use the unlisted procedure code 58999 along with a detailed letter of medical necessity to explain why the treatment was performed. Some providers also use codes like 57150 or 57022, depending on the specifics of the procedure, but none of these are a perfect match. Q2: Is MonaLisa Touch covered by insurance or Medicare? Unfortunately, most private insurance plans and Medicare do not cover MonaLisa Touch. Insurers generally classify it as cosmetic or elective, even when it is being used to treat a real medical condition. Women whose vaginal atrophy was caused by cancer treatment may have some grounds to appeal a denial, but approvals are still rare. Your best alternative is to check whether your HSA or FSA funds can be used, as many women pay for the procedure using pre-tax dollars from those accounts. Q3: How much does MonaLisa Touch cost without insurance? Most women pay between $800 and $1,200 per session out of pocket. Since a full treatment course typically requires three sessions, the total cost usually falls between $2,400 and $3,600. After that, an annual maintenance session is recommended to keep the results, which generally costs $200 to $500. Prices can vary depending on your location and your provider, so always ask for a written estimate before committing. Q4: How does MonaLisa Touch compare to vaginal estrogen cream? Both treatments address vaginal dryness and menopausal symptoms, but they work in different ways. Vaginal estrogen cream restores estrogen locally and is covered by most insurance plans, making it the more affordable and accessible option for most women. MonaLisa Touch, on the other hand, is hormone-free and uses laser energy to stimulate the body’s natural collagen production. It is particularly valuable for women who cannot use estrogen due to a history of hormone-sensitive cancers like breast cancer. If estrogen is safe for you, it is usually the better starting point. If it is not an option, MonaLisa Touch is worth a serious conversation with your doctor. Q5: What can I realistically expect before and after MonaLisa Touch? Before the procedure, your doctor will review your health history and confirm that MonaLisa Touch is the right fit for your situation. The procedure itself takes about five minutes and most women describe it as mild pressure or warmth not painful. Afterward, light spotting or discharge for a day or two is normal, and you should avoid intercourse for two to three days. Most women begin noticing real improvement in vaginal dryness, discomfort during sex, and urinary symptoms within four to six weeks of their first session. Full results after all three sessions are usually visible within three months, with annual maintenance keeping those results going long term.