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ICD-10-CM K59.9, Functional intestinal disorder, unspecified | No Prior Auth

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`K59.9`, Functional intestinal disorder, unspecified

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.

Key Coverage Criteria

Thyroid function testing is consideredmedically necessaryfor individuals who meet any of the following indications:
For evaluation of signs or symptoms consistent with thyroid disease;or
To evaluate, assess, or monitor confirmed or suspected thyroid disease;or
To evaluate thyroid function when there are risk factors for thyroid disease.
Exposure to hepatotoxins;or
Gastrointestinal disease;or

3 Active Policies

ANTHEM-CG-LAB-20, Thyroid Testing

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

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

Related Codes

K52.9(3 policies)Z85.00(3 policies)B19.9(2 policies)A19.9(2 policies)A53.9(2 policies)B15.0(2 policies)A06.0(2 policies)A15.0(2 policies)

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