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ICD-10-CM S37.29XS, Other injury of bladder, sequela | No Prior Auth

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`S37.29XS`, Other injury of bladder, sequela

ICD-10-CM

Prior Authorization

No Prior Auth Required

Covered without prior authorization (high confidence)

Documentation Required

This billing and coding article provides guidelines that complement Local Coverage Determination L34415 for CT of the abdomen and pelvis; consult LCD L34415 for specific coverage indications, limitations, and documentation requirements.

Key Coverage Criteria

Injection of periurethral bulking agents is consideredmedically necessarywhen the individual has stress urinary incontinence (SUI) meeting one the following two criteria (A or B):
The incontinence is due to trauma or injury;or
Both of the following are true (1 and 2):
The incontinence persists despite conservative treatment for at least a sufficient duration to fully assess treatment effect*;and
One of the following is true:The incontinence is caused by intrinsic sphincter deficiency (ISD),orThe incontinence is due to urethral hypermobility in individuals with abdominal leak point less than 100 cm H2O.
The incontinence is caused by intrinsic sphincter deficiency (ISD),or

2 Active Policies

ANTHEM-SURG.00010, Treatments for Urinary Incontinence

A56421, Billing and Coding: CT of the Abdomen and Pelvis

Related Codes

S37.39XS(2 policies)T83.121A(2 policies)S37.20XA(2 policies)S37.30XA(2 policies)T83.111A(2 policies)T83.111S(2 policies)N99.89(2 policies)T83.121S(2 policies)

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