C84.A4, Cutaneous T-cell lymphoma, unspecified, lymph nodes of axilla and upper limbICD-10-CM
No Prior Auth Required
Covered without prior authorization (high confidence)
CGS-J15-L34356, Erythropoiesis Stimulating Agents (ESA)
J15
CGS-J15-L40386, Erythropoiesis Stimulating Agents (ESA)
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-J18-L34356, 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-L34037, Flow Cytometry
J18
CGS-J18-L40386, Erythropoiesis Stimulating Agents (ESA)
J18
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
WPS-J5-L39040, MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer
J5
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
NGS-J6-L40334, Erythropoiesis Stimulating Agents
J6
NGS-J6-L39513, Allogeneic Hematopoietic Cell Transplantation for Primary Refractory or Relapsed Hodgkin and Non-Hodgkin Lymphoma with B-cell or T-cell Origin
J6
NGS-J6-L40333, Erythropoiesis Stimulating Agents
J6
NGS-J6-L33394, Drugs and Biologicals, Coverage of, for Label and Off-Label Uses
J6
NGS-J6-L39297, Off-label Use of Rituximab and Rituximab Biosimilars
J6
A52450, Billing and Coding: Paclitaxel (e.g., Taxol/Abraxane )
J6
NGS-J6-L36850, Peripheral Nerve Blocks
J6
A57452, Billing and Coding: Peripheral Nerve Blocks
J6
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