K63.8211, Small intestinal bacterial overgrowth, hydrogen-subtypeICD-10-CM
No Prior Auth Required
Covered without prior authorization by at least one policy, though another does not cover it (medium confidence)
CGS-J15-L39038, MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
J15
CGS-J18-L39038, MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
J18
WPS-J5-L39044, MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
J5
A58761, Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
J5
WPS-J5-L34614, Colonoscopy and Sigmoidoscopy-Diagnostic
J5
A56394, Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
J5
WPS-J8-L39044, MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
J8
WPS-J8-L34614, Colonoscopy and Sigmoidoscopy-Diagnostic
J8
A56421, Billing and Coding: CT of the Abdomen and Pelvis
A56632, Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
A58710, Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
A58720, Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
A58747, Billing and Coding: MolDX: Molecular Syndromic Panels for Infectious Disease Pathogen Identification Testing
ANTHEM-LAB.00016, Fecal Analysis Panels in the Diagnosis of Intestinal Disorders
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