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ICD-10-CM N91.3, Primary oligomenorrhea | No Prior Auth

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`N91.3`, Primary oligomenorrhea

ICD-10-CM

Prior Authorization

No Prior Auth Required

Code is covered without prior authorization (high confidence)

Key Coverage Criteria

Inherited disorders of vitamin D and phosphate metabolism;or
Immobilization (for example, cerebral palsy or neuromuscular disease);or
Hepatic failure (cirrhosis or chronic liver disease);or
Hypo- or hyper-calcemia;or
Vitamin D testing is consideredmedically necessaryin individuals with conditions considered high-risk for vitamin D deficiency or intoxication, including but not limited to:
Aggressive sun protection measures (that is, limited effective sun exposure due to protective clothing or consistent use of sunscreens);or

1 Active Policy

ANTHEM-CG-LAB-11, Screening for Vitamin D Deficiency in Average Risk Individuals

Related Codes

82652(1 policies)A15.0(1 policies)A19.9(1 policies)B38.0(1 policies)B38.9(1 policies)B39.0(1 policies)B39.9(1 policies)82306(1 policies)

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