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ICD-10-CM O99.011, Anemia complicating pregnancy, first trimester | No Prior Auth

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`O99.011`, Anemia complicating pregnancy, first trimester

ICD-10-CM

Prior Authorization

No Prior Auth Required

Covered without prior authorization (high confidence)

Key Coverage Criteria

Serum iron testing is consideredmedically necessaryfor any of the following indications:
Evaluation of suspected iron deficiency in individuals who meet any of the following criteria:Abnormal blood counts consistent with iron deficiency including, but not limited to, the following:Decreased mean corpuscular volume (MCV);orDecreased hemoglobin/hematocrit when the MCV is low or normal;orIncreased red cell distribution width (RDW) and low or normal MCV;orEvidence of acute or chronic blood loss including, but not limited to, the following:Gastrointestinal blood loss;orHematuria;orMenorr [...]
Abnormal blood counts consistent with iron deficiency including, but not limited to, the following:Decreased mean corpuscular volume (MCV);orDecreased hemoglobin/hematocrit when the MCV is low or normal;orIncreased red cell distribution width (RDW) and low or normal MCV;or
Decreased mean corpuscular volume (MCV);or
Decreased hemoglobin/hematocrit when the MCV is low or normal;or
Increased red cell distribution width (RDW) and low or normal MCV;or

2 Active Policies

ANTHEM-CG-LAB-21, Serum Iron Testing

ANTHEM-CG-MED-68, Therapeutic Apheresis

Related Codes

N04.B2(2 policies)O99.03(2 policies)E80.0(2 policies)N04.0(2 policies)N18.1(2 policies)N18.9(2 policies)D57.819(2 policies)T86.00(2 policies)

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