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ICD-10-CM A95.0, Sylvatic yellow fever | No Prior Auth

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`A95.0`, Sylvatic yellow fever

ICD-10-CM

Prior Authorization

No Prior Auth Required

Covered without prior authorization (high confidence)

Key Coverage Criteria

Exposure to hepatotoxins;or
Gastrointestinal disease;or
Liver transplantation;or
Primary or secondary malignant neoplasms;or
Infections that may cause liver injury (for example, viral hepatitis, amoebiasis, tuberculosis, and similar infections);or
Pancreatic disease;or

1 Active Policy

ANTHEM-CG-LAB-29, Gamma Glutamyl Transferase Testing

Related Codes

A02.0(1 policies)A04.9(1 policies)A06.0(1 policies)A15.0(1 policies)A19.9(1 policies)A20.0(1 policies)A20.9(1 policies)82977(1 policies)

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