S05.42XS, Penetrating wound of orbit with or without foreign body, left eye, sequelaICD-10-CM
No Prior Auth Required
Covered without prior authorization (high confidence)
CGS-J15-L34032, Debridement Services
J15
CGS-J18-L34032, Debridement Services
J18
A56537, Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
J6
NGS-J6-L33567, Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
J6
NGS-J6-L34380, Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
J6
A56726, Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
J6
NOVITAS-JH-L34865, Magnetic Resonance Angiography (MRA)
JH
NGS-JK-L33567, Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
JK
NGS-JK-L34380, Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
JK
A56805, Billing and Coding: Magnetic Resonance Angiography (MRA)
JL
NOVITAS-JL-L34865, Magnetic Resonance Angiography (MRA)
JL
A56459, Billing and Coding: Debridement Services
A56658, Billing and Coding: Cosmetic and Reconstructive Surgery
A56729, Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
A57204, Billing and Coding: MRI and CT Scans of the Head and Neck
ANTHEM-CG-SURG-03, Blepharoplasty, Blepharoptosis Repair, and Brow Lift
AMBETTER-CP.VP.26, Extended Ophthalmoscopy
AMBETTER-CP.VP.43, External Ocular Photography
AMBETTER-CP.VP.29, Fundus Photography
AMBETTER-CP.VP.14, Scanning Computerized Opthalmic Diagnostic Imaging
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