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ICD-10-CM T17.428S, Food in trachea causing other injury, sequela | No Prior Auth

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`T17.428S`, Food in trachea causing other injury, sequela

ICD-10-CM

Prior Authorization

No Prior Auth Required

Covered without prior authorization (high confidence)

Documentation Required

This billing/coding guideline complements LCD L33459 (Computerized Axial Tomography (CT), Thorax); follow the LCD for clinical coverage and any required documentation or prior authorization rules.
Document evaluations and re-evaluations and bill re-evaluations using the evaluation CPT code (per policy guidance).
Document selection/prescription and programming/modification of speech-generating devices and use CPT 92607/92608 for selection/prescription and CPT 92609 for programming/modification on claims.
Claims and coding must follow the complementary Local Coverage Determination (LCD L34429) guidelines referenced in this policy.

Key Coverage Criteria

Coverage for programming and modification of speech-generating devices using CPT 92609.
Coverage for individual outpatient treatment of speech, language, voice, communication, and/or auditory processing disorders using CPT 92507.
Coverage for group outpatient treatment (2 or more individuals) of speech, language, voice, communication, and/or auditory processing disorders using CPT 92508.
Coverage for selection and prescription of speech-generating devices (SGDs) using CPT 92607 and 92608.

2 Active Policies

A56580, Billing and Coding: Computerized Axial Tomography (CT), Thorax

A56868, Billing and Coding: Outpatient Speech Language Pathology

Related Codes

G70.2(2 policies)G70.89(2 policies)G70.01(2 policies)G70.1(2 policies)G70.80(2 policies)G70.81(2 policies)G70.00(2 policies)G70.9(2 policies)

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