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ICD-10-CM E61.1, Iron deficiency | No Prior Auth

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`E61.1`, Iron deficiency

ICD-10-CM

Prior Authorization

No Prior Auth Required

Covered without prior authorization (high confidence)

Key Coverage Criteria

Serum iron testing is consideredmedically necessaryfor any of the following indications:
Evaluation of suspected iron deficiency in individuals who meet any of the following criteria:Abnormal blood counts consistent with iron deficiency including, but not limited to, the following:Decreased mean corpuscular volume (MCV);orDecreased hemoglobin/hematocrit when the MCV is low or normal;orIncreased red cell distribution width (RDW) and low or normal MCV;orEvidence of acute or chronic blood loss including, but not limited to, the following:Gastrointestinal blood loss;orHematuria;orMenorr [...]
Abnormal blood counts consistent with iron deficiency including, but not limited to, the following:Decreased mean corpuscular volume (MCV);orDecreased hemoglobin/hematocrit when the MCV is low or normal;orIncreased red cell distribution width (RDW) and low or normal MCV;or
Decreased mean corpuscular volume (MCV);or
Decreased hemoglobin/hematocrit when the MCV is low or normal;or
Increased red cell distribution width (RDW) and low or normal MCV;or

1 Active Policy

ANTHEM-CG-LAB-21, Serum Iron Testing

Related Codes

83540(1 policies)83550(1 policies)84466(1 policies)A01.00(1 policies)A02.9(1 policies)A04.0(1 policies)A04.9(1 policies)82728(1 policies)

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