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ICD-10-CM G11.5, Hypomyelination - hypogonadotropic hypogonadism - hypodontia | No Prior Auth

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`G11.5`, Hypomyelination - hypogonadotropic hypogonadism - hypodontia

ICD-10-CM

Prior Authorization

No Prior Auth Required

Covered without prior authorization (high confidence)

Documentation Required

Required documentation (medical records, evidence of skilled need, teaching/training plans, and physician orders) and any specific forms or certifications are those specified in LCD L34562 and applicable payer guidance.

Key Coverage Criteria

Skilled nursing teaching and training services for beneficiaries diagnosed with Alzheimer's disease or related behavioral disturbances when the services meet the coverage criteria in LCD L34562.

1 Active Policy

A56641, Billing and Coding: Home Health Skilled Nursing Care-Teaching and Training: Alzheimer's Disease and Behavioral Disturbances

Related Codes

F03.911(1 policies)F03.918(1 policies)F03.92(1 policies)F03.93(1 policies)F03.94(1 policies)G0299(1 policies)G0300(1 policies)F03.90(1 policies)

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