C81.03, Nodular lymphocyte predominant Hodgkin lymphoma, intra-abdominal lymph nodesICD-10-CM
No Prior Auth Required
Covered without prior authorization (high confidence)
CGS-J15-L38822, MolDX: Minimal Residual Disease Testing for Cancer
J15
CGS-J15-L39434, Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin's and Non-Hodgkin's Lymphoma with B-cell or T-cell Origin
J15
CGS-J15-L34037, Flow Cytometry
J15
CGS-J15-L40386, Erythropoiesis Stimulating Agents (ESA)
J15
CGS-J15-L36658, Proton Beam Therapy
J15
CGS-J15-L34356, Erythropoiesis Stimulating Agents (ESA)
J15
CGS-J18-L34037, Flow Cytometry
J18
CGS-J18-L40386, Erythropoiesis Stimulating Agents (ESA)
J18
CGS-J18-L39434, Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin's and Non-Hodgkin's Lymphoma with B-cell or T-cell Origin
J18
CGS-J18-L38822, MolDX: Minimal Residual Disease Testing for Cancer
J18
CGS-J18-L34356, Erythropoiesis Stimulating Agents (ESA)
J18
CGS-J18-L36658, Proton Beam Therapy
J18
A59259, Billing and Coding: Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin's and Non-Hodgkin's Lymphoma with B-cell or T-cell Origin
J5
A58756, Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer
J5
WPS-J5-L39040, MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer
J5
WPS-J5-L39477, Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin's and Non-Hodgkin's Lymphoma with B-cell or T-cell Origin
J5
A59004, Billing and Coding: MolDX: Minimal Residual Disease Testing for Hematologic Cancers
J5
WPS-J5-L38835, MolDX: Minimal Residual Disease Testing for Cancer
J5
NGS-J6-L39297, Off-label Use of Rituximab and Rituximab Biosimilars
J6
NGS-J6-L36850, Peripheral Nerve Blocks
J6
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