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ICD-10-CM S02.85XS, Fracture of orbit, unspecified, sequela | No Prior Auth

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`S02.85XS`, Fracture of orbit, unspecified, sequela

ICD-10-CM

Prior Authorization

No Prior Auth Required

Covered without prior authorization (high confidence)

Documentation Required

This article provides billing/coding guidelines that complement Local Coverage Determination L34417 for CT of the head; consult LCD L34417 for specific coverage, coding, and documentation requirements.
Billing and coding guidance in this policy complements and references Local Coverage Determination L34425; claims should be supported per the documentation requirements specified in LCD L34425.

Key Coverage Criteria

No specific clinical indications are listed in this billing/coding guidance; coverage determinations for MRI of the head and neck follow Local Coverage Determination L34425.

2 Active Policies

A56612, Billing and Coding: CT of the Head

A56729, Billing and Coding: Magnetic Resonance Imaging of the Head and Neck

Related Codes

C31.0(2 policies)C31.3(2 policies)C30.0(2 policies)C30.1(2 policies)C31.1(2 policies)C31.2(2 policies)C14.2(2 policies)C31.8(2 policies)

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