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ICD-10-CM B66.3, Fascioliasis | No Prior Auth

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`B66.3`, Fascioliasis

ICD-10-CM

Prior Authorization

No Prior Auth Required

Code is covered without prior authorization (high confidence)

Documentation Required

This billing and coding article provides guidelines that complement Local Coverage Determination L34415 for CT of the abdomen and pelvis; consult LCD L34415 for specific coverage indications, limitations, and documentation requirements.

Key Coverage Criteria

Outpatient alpha-fetoprotein testing is consideredmedically necessaryfor any of the following indications:
Screening for neural tube defects in pregnant persons;or
Evaluation or management of the following conditions:Carcinoma of unknown primary site;orGerm cell tumors;orHepatocellular carcinoma (HCC): diagnosed HCC, suspected HCC, or for those at high risk for HCC;orMediastinal mass;orOvarian cancer;orPelvic mass;orRetroperitoneal mass;orTesticular cancer or suspicious testicular mass;orThymoma or thymic cancer.
Carcinoma of unknown primary site;or
Germ cell tumors;or
Hepatocellular carcinoma (HCC): diagnosed HCC, suspected HCC, or for those at high risk for HCC;or

2 Active Policies

ANTHEM-CG-LAB-26, Outpatient Alpha-Fetoprotein Testing

A56421, Billing and Coding: CT of the Abdomen and Pelvis

Related Codes

B18.9(2 policies)C22.9(2 policies)B17.9(2 policies)B18.0(2 policies)B66.1(2 policies)C22.0(2 policies)B16.0(2 policies)C48.0(2 policies)

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