M84.451K, Pathological fracture, right femur, subsequent encounter for fracture with nonunionICD-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-L40232, Total Joint Arthroplasty
J15
CGS-J18-L40232, Total Joint Arthroplasty
J18
A59434, Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound
J5
WPS-J5-L39911, Total Joint Arthroplasty
J5
A59811, Billing and Coding: Total Joint Arthroplasty
J5
A58893, Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound
J6
WPS-J8-L39911, Total Joint Arthroplasty
J8
A57765, Billing and Coding: Major Joint Replacement (Hip and Knee)
J9
A59764, Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound
J9
FIRST_COAST-L33618, Major Joint Replacement (Hip and Knee)
J9
NOVITAS-JH-L36007, Lower Extremity Major Joint Replacement (Hip and Knee)
JH
A59766, Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound
JL
NOVITAS-JL-L36007, Lower Extremity Major Joint Replacement (Hip and Knee)
JL
A56796, Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
JL
A60250, Billing and Coding: Total Joint Arthroplasty
A52465, Knee Orthoses - Policy Article
A56777, Billing and Coding: Total Joint Arthroplasty
A57206, Billing and Coding: Lumbar MRI
A57311, Billing and Coding: Physical Therapy - Home Health
A57683, Billing and Coding: Total Hip Arthroplasty
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