M1A.1721, Lead-induced chronic gout, left ankle and foot, with tophus (tophi)ICD-10-CM
No Prior Auth Required
Covered without prior authorization by at least one policy, though another does not cover it (medium confidence)
A59434, Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound
J5
NGS-J6-L39995, Pharmacogenomic Testing
J6
A59915, Billing and Coding: Pharmacogenomic Testing
J6
A58893, Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound
J6
A59764, Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound
J9
A58812, Billing and Coding: Pharmacogenomics Testing
J9
FIRST_COAST-L39073, Pharmacogenomics Testing
J9
NOVITAS-JH-L39063, Pharmacogenomics Testing
JH
NOVITAS-JH-L35434, Oximetry Services
JH
NGS-JK-L39995, Pharmacogenomic Testing
JK
A57205, Billing and Coding: Oximetry Services
JL
NOVITAS-JL-L35434, Oximetry Services
JL
A59766, Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound
JL
A58801, Billing and Coding: Pharmacogenomics Testing
JL
NOVITAS-JL-L39063, Pharmacogenomics Testing
JL
A59374, Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound
A58865, Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound
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