Skip to main content

ICD-10-CM O25.3, Malnutrition in the puerperium | No Prior Auth

Backwork Sign up free

Ask Backwork/O25.3

`O25.3`, Malnutrition in the puerperium

ICD-10-CM

Prior Authorization

No Prior Auth Required

Covered without prior authorization (high confidence)

Documentation Required

Medical records must document the medical necessity of the serum magnesium test, including the signs, symptoms, and/or diagnosis that prompted the test.
Laboratories must maintain the physician's order for the serum magnesium test in their records.
Medical records must contain the serum magnesium lab test results.
When requesting individual consideration through written redetermination, providers must include all relevant medical records and supporting literature.

Key Coverage Criteria

Exposure to hepatotoxins;or
Gastrointestinal disease;or
Liver transplantation;or
Primary or secondary malignant neoplasms;or
Infections that may cause liver injury (for example, viral hepatitis, amoebiasis, tuberculosis, and similar infections);or
Pancreatic disease;or

2 Active Policies

ANTHEM-CG-LAB-29, Gamma Glutamyl Transferase Testing

A57189, Billing and Coding: Serum Magnesium

Related Codes

N00.0(2 policies)O24.011(2 policies)E13.9(2 policies)E21.0(2 policies)N25.0(2 policies)O10.011(2 policies)E08.00(2 policies)R40.0(2 policies)

Have a follow-up question?

Ask Backwork about documentation requirements, denial risks, or coverage in your state.

Ask Backwork about O25.3 Sign up free

For redetermination, providers must submit at minimum two (2) Phase II studies or one (1) Phase III study to support the request.