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ICD-10-CM T21.04XS, Burn of unspecified degree of lower back, sequela | No Prior Auth

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`T21.04XS`, Burn of unspecified degree of lower back, sequela

ICD-10-CM

Prior Authorization

No Prior Auth Required

Covered without prior authorization (high confidence)

Documentation Required

The article provides billing/coding guidance that complements LCD L39400; use the documentation, prior authorization, and claim submission requirements specified in LCD L39400 and the local contractor's instructions.

Key Coverage Criteria

No specific clinical indications are listed in this article; follow the Local Coverage Determination (LCD) L39400 for indications for magnesium testing or services.

1 Active Policy

A59186, Billing and Coding: Magnesium

Related Codes

C13.0(1 policies)C13.1(1 policies)C13.2(1 policies)C13.8(1 policies)C13.9(1 policies)C15.3(1 policies)C15.4(1 policies)83735(1 policies)

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