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ICD-10-CM K43.1, Incisional hernia with gangrene | No Prior Auth

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`K43.1`, Incisional hernia with gangrene

ICD-10-CM

Prior Authorization

No Prior Auth Required

Covered without prior authorization (high confidence)

Documentation Required

This billing and coding article provides guidelines that complement Local Coverage Determination L34415 for CT of the abdomen and pelvis; consult LCD L34415 for specific coverage indications, limitations, and documentation requirements.
This policy provides billing, coding, and guideline information that complements the Local Coverage Determination (LCD) 'Cosmetic and Reconstructive Surgery' L33428; the full policy content is not included here, so specific documentation requirements (e.g., medical records, prior authorizations, forms) are not available in the provided excerpt.

2 Active Policies

A56421, Billing and Coding: CT of the Abdomen and Pelvis

A56658, Billing and Coding: Cosmetic and Reconstructive Surgery

Related Codes

C43.121(2 policies)C43.22(2 policies)C43.111(2 policies)C43.112(2 policies)C43.122(2 policies)C43.21(2 policies)C43.0(2 policies)C43.30(2 policies)

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