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ICD-10-CM S44.30XD, Injury of axillary nerve, unspecified arm, subsequent encounter | No Prior Auth

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`S44.30XD`, Injury of axillary nerve, unspecified arm, subsequent encounter

ICD-10-CM

Prior Authorization

No Prior Auth Required

Covered without prior authorization (high confidence)

Documentation Required

Medical records must be maintained and available upon request; every page must be legible and include patient identification (e.g., full name, dates of service) and identify the physician or non-physician practitioner responsible for care.
Submitted medical records must support the selected diagnosis code(s) and the submitted CPT/HCPCS code must accurately describe the service performed.
Claims and documentation requirements for CPNB are governed by and must follow the Local Coverage Determination L37641 referenced by this guideline.

Key Coverage Criteria

Regional or local nerve blocks performed as an adjunct to, or as the sole means of, regional/local anesthesia for an operative procedure are not affected by this noncoverage policy (i.e., such intraoperative regional/local anesthesia is allowed).
No specific coverage indications are stated in this billing/coding guideline; refer to Local Coverage Determination L37641 for covered indications for continuous peripheral nerve blocks (CPNB).

2 Active Policies

A56034, Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy

A56607, Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)

Related Codes

B02.1(2 policies)B02.23(2 policies)64448(2 policies)64449(2 policies)B02.21(2 policies)B02.22(2 policies)64446(2 policies)B02.24(2 policies)

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