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ICD-10-CM P77.1, Stage 1 necrotizing enterocolitis in newborn | No Prior Auth

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`P77.1`, Stage 1 necrotizing enterocolitis in newborn

ICD-10-CM

Prior Authorization

No Prior Auth Required

Covered without prior authorization (high confidence)

Documentation Required

No explicit documentation requirements are stated in this Clinical Policy Bulletin.

Key Coverage Criteria

None specified. Aetna considers the analysis of volatile organic compounds experimental and investigational for the indications listed below (see Limitations).

1 Active Policy

AETNA-CPB-0717, Analysis of Volatile Organic Compounds

Related Codes

A19.9(1 policies)B37.0(1 policies)C00.0(1 policies)C96.9(1 policies)D00.1(1 policies)D00.2(1 policies)D05.00(1 policies)A15.0(1 policies)

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