S04.031D, Injury of optic tract and pathways, right side, subsequent encounterICD-10-CM
No Prior Auth Required
Covered without prior authorization (high confidence)
A57599, Billing and Coding: Visual Electrophysiology Testing
J5
WPS-J5-L37015, Visual Electrophysiology Testing
J5
NGS-J6-L36831, Visual Electrophysiology Testing
J6
A57060, Billing and Coding: Visual Electrophysiology Testing
J6
NGS-J6-L33574, Visual Fields Testing
J6
A56551, Billing and Coding: Visual Fields Testing
J6
WPS-J8-L37015, Visual Electrophysiology Testing
J8
FIRST_COAST-L33766, Visual Field Examination
J9
A57637, Billing and Coding: Visual Field Examination
J9
NOVITAS-JH-L34975, Neurophysiology Evoked Potentials (NEPs)
JH
NGS-JK-L33574, Visual Fields Testing
JK
NGS-JK-L36831, Visual Electrophysiology Testing
JK
NOVITAS-JL-L34975, Neurophysiology Evoked Potentials (NEPs)
JL
A56773, Billing and Coding: Neurophysiology Evoked Potentials (NEPs)
JL
A56612, Billing and Coding: CT of the Head
A57204, Billing and Coding: MRI and CT Scans of the Head and Neck
AMBETTER-CP.VP.63, Visual Field Testing
AMBETTER-CP.VP.29, Fundus Photography
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