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ICD-10-CM E63.0, Essential fatty acid [EFA] deficiency | No Prior Auth

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`E63.0`, Essential fatty acid [EFA] deficiency

ICD-10-CM

Prior Authorization

No Prior Auth Required

Covered without prior authorization (high confidence)

Key Coverage Criteria

Exposure to hepatotoxins;or
Gastrointestinal disease;or
Liver transplantation;or
Primary or secondary malignant neoplasms;or
Infections that may cause liver injury (for example, viral hepatitis, amoebiasis, tuberculosis, and similar infections);or
Pancreatic disease;or

2 Active Policies

ANTHEM-CG-LAB-29, Gamma Glutamyl Transferase Testing

ANTHEM-CG-LAB-30, Outpatient Laboratory-based Blood Glucose Testing

Related Codes

A49.9(2 policies)E13.9(2 policies)A19.9(2 policies)A20.0(2 policies)B25.0(2 policies)E08.00(2 policies)A15.0(2 policies)E64.9(2 policies)

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