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ICD-10-CM S03.00XS, Dislocation of jaw, unspecified side, sequela | No Prior Auth

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`S03.00XS`, Dislocation of jaw, unspecified side, sequela

ICD-10-CM

Prior Authorization

No Prior Auth Required

Covered without prior authorization (high confidence)

Documentation Required

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.

1 Active Policy

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

Related Codes

70542(1 policies)70543(1 policies)A18.50(1 policies)A18.51(1 policies)A18.52(1 policies)A18.53(1 policies)A18.54(1 policies)70540(1 policies)

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