E13.3412, Other specified diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eyeICD-10-CM
No Prior Auth Required
Covered without prior authorization (high confidence)
CGS-J15-L34399, Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
J15
CGS-J15-L34246, Routine Foot Care and Debridement of Nails
J15
CGS-J15-L37578, Micro-Invasive Glaucoma Surgery (MIGS)
J15
CGS-J15-L34064, Panretinal (Scatter) Laser Photocoagulation
J15
CGS-J15-L34394, Visual Fields Testing
J15
CGS-J15-L34061, Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
J15
CGS-J15-L33954, Cataract Extraction
J15
CGS-J15-L38662, Implantable Continuous Glucose Monitors (I-CGM)
J15
CGS-J15-L34175, Ophthalmic Angiography (Fluorescein and Indocyanine Green)
J15
CGS-J15-L38992, Electroretinography (ERG)
J15
CGS-J18-L37578, Micro-Invasive Glaucoma Surgery (MIGS)
J18
CGS-J18-L33954, Cataract Extraction
J18
CGS-J18-L38662, Implantable Continuous Glucose Monitors (I-CGM)
J18
CGS-J18-L34399, Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
J18
CGS-J18-L34394, Visual Fields Testing
J18
CGS-J18-L34246, Routine Foot Care and Debridement of Nails
J18
CGS-J18-L34175, Ophthalmic Angiography (Fluorescein and Indocyanine Green)
J18
CGS-J18-L34064, Panretinal (Scatter) Laser Photocoagulation
J18
CGS-J18-L34061, Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
J18
CGS-J18-L38992, Electroretinography (ERG)
J18
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