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ICD-10-CM A50.01, Early congenital syphilitic oculopathy | No Prior Auth

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`A50.01`, Early congenital syphilitic oculopathy

ICD-10-CM

Prior Authorization

No Prior Auth Required

Covered without prior authorization (high confidence)

Key Coverage Criteria

Thyroid function testing is consideredmedically necessaryfor individuals who meet any of the following indications:
For evaluation of signs or symptoms consistent with thyroid disease;or
To evaluate, assess, or monitor confirmed or suspected thyroid disease;or
To evaluate thyroid function when there are risk factors for thyroid disease.
Fundus photography is consideredmedically necessaryto document abnormalities or disease processes (not screening) affecting the eye or to follow the progress of such eye disease when the results of fundus photography will be used to direct therapy and improve clinical outcomes. [...]
Diabetic retinopathy

2 Active Policies

ANTHEM-CG-LAB-20, Thyroid Testing

ANTHEM-CG-MED-47, Fundus Photography

Related Codes

G35.D(2 policies)P37.0(2 policies)E13.9(2 policies)G35.A(2 policies)M05.00(2 policies)M08.9A(2 policies)E08.00(2 policies)Z79.899(2 policies)

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