E11.311, Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edemaICD-10-CM
No Prior Auth Required
Covered without prior authorization by at least one policy, though another does not cover it (medium confidence)
CGS-J15-L37578, Micro-Invasive Glaucoma Surgery (MIGS)
J15
CGS-J15-L38662, Implantable Continuous Glucose Monitors (I-CGM)
J15
CGS-J15-L33954, Cataract Extraction
J15
CGS-J15-L34399, Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
J15
CGS-J15-L34064, Panretinal (Scatter) Laser Photocoagulation
J15
CGS-J15-L38992, Electroretinography (ERG)
J15
CGS-J15-L40199, MolDX: Biomarker Testing in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis
J15
CGS-J18-L34064, Panretinal (Scatter) Laser Photocoagulation
J18
CGS-J18-L38992, Electroretinography (ERG)
J18
CGS-J18-L33954, Cataract Extraction
J18
CGS-J18-L40199, MolDX: Biomarker Testing in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis
J18
CGS-J18-L37578, Micro-Invasive Glaucoma Surgery (MIGS)
J18
CGS-J18-L34399, Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
J18
CGS-J18-L38662, Implantable Continuous Glucose Monitors (I-CGM)
J18
WPS-J5-L38686, Implantable Continuous Glucose Monitors (I-CGM)
J5
WPS-J5-L37015, Visual Electrophysiology Testing
J5
WPS-J5-L39905, Cataract Surgery
J5
WPS-J5-L34760, Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
J5
WPS-J5-L35490, Category III Codes
J5
WPS-J5-L40272, MolDX: Biomarker Testing in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis
J5
Ask Backwork about documentation requirements, denial risks, or coverage in your state.