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ICD-10-CM N98.9, Complication associated with artificial fertilization, unspecified | No Prior Auth

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`N98.9`, Complication associated with artificial fertilization, unspecified

ICD-10-CM

Prior Authorization

No Prior Auth Required

Covered without prior authorization (high confidence)

Key Coverage Criteria

Hysteroscopy is consideredmedically necessaryin the evaluation of infertility for any of the following indications:
Suspected uterine abnormality as evidenced by abnormal hysterosalpingogram or hysterosonogram (for example, but not limited to endometrial polyp, submucosal myoma, intrauterine synechia (scarring) or uterine anomaly (unicornuate, bicornuate, septate uteri);or
Proximal tubal occlusion on hysterosalpingogram;or
Cervical stenosis;or
Inadequate or non-diagnostic hysterosalpingogram or sonohysterogram.

1 Active Policy

ANTHEM-CG-SURG-34, Diagnostic Hysteroscopy for Infertility

Related Codes

49320(1 policies)58555(1 policies)N88.2(1 policies)N97.0(1 policies)N97.9(1 policies)N98.0(1 policies)R93.5(1 policies)R93.8(1 policies)

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