Does N80.00 require prior authorization?

No, N80.00 does not require prior authorization (high confidence). Covered without prior authorization.

`N80.00`, Endometriosis of the uterus, unspecified

ICD-10-CM

No Prior Auth Required

Covered without prior authorization (high confidence)

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.
- von Willebrand factor antigen (VWF:Ag), VWF activity measures (RCoF, collagen binding), VWF multimer analysis where available
- VWF pro-peptide (VWFpp) in some studies
- Routine TMA/TTP-related laboratory data: platelet count, LDH, haptoglobin, peripheral smear (schistocytes), creatinine/renal function, coagulation studies

Covered diagnoses (ICD-10) if selection criteria are met: M31.19 Other thrombotic microangiopathy.
Covered diagnoses (ICD-10) if selection criteria are met: M31.10 Thrombotic microangiopathy, unspecified.
Monitoring renal function following kidney transplantation (ADAMTS13 association with creatinine/GFR) (investigational)
Assessment of ADAMTS13 and VWF in acute cholangitis severity (investigational)
Evaluation/recognition of TMA after acute pancreatitis (including TPE decision support in reported cases) (investigational)
Research/associations of ADAMTS13 (genetic mutations or expression) in melanoma and other cancers (investigational)

ANTHEM-CG-MED-84, Non-Obstetric Gynecologic Duplex Ultrasonography of the Abdomen and Pelvis in the Outpatient Setting

ANTHEM-CG-LAB-32, Cancer Antigen 125 Testing

AETNA-CPB-0113, Botulinum Toxin

AETNA-CPB-0501, Gonadotropin-Releasing Hormone Analogs and Antagonists

AETNA-CPB-0530, Transvaginal Ultrasonography

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