M86.39, Chronic multifocal osteomyelitis, multiple sitesICD-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-L39521, Positron Emission Tomography (PET) Scan for Inflammation and Infection
J15
CGS-J15-L34032, Debridement Services
J15
CGS-J18-L39521, Positron Emission Tomography (PET) Scan for Inflammation and Infection
J18
CGS-J18-L34032, Debridement Services
J18
A59434, Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound
J5
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
A59766, Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound
JL
A58865, Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound
A59318, Billing and Coding: Positron Emission Tomography (PET) Scan for Inflammation and Infection
A59374, Billing and Coding: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound
A57206, Billing and Coding: Lumbar MRI
A56459, Billing and Coding: Debridement Services
AETNA-CPB-0524, Zoledronic Acid
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