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ICD-10-CM Z19.1, Hormone sensitive malignancy status | No Prior Auth

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`Z19.1`, Hormone sensitive malignancy status

ICD-10-CM

Prior Authorization

No Prior Auth Required

Covered without prior authorization (high confidence)

Key Coverage Criteria

Outpatient urine culture testing for bacteria is consideredmedically necessaryto evaluate any of the following situations:
Clinical signs or symptoms suggesting urinary tract infection (UTI);or
Abnormal urinalysis suggesting UTI;or
Asymptomatic bacteriuria in pregnant persons;or
Bacteriuria in individuals prior to undergoing an endoscopic urologic procedure;or
Suspected interstitial cystitis or bladder pain syndrome.

4 Active Policies

ANTHEM-CG-LAB-24, Outpatient Urine Culture

ANTHEM-CG-LAB-20, Thyroid Testing

ANTHEM-CG-LAB-29, Gamma Glutamyl Transferase Testing

ANTHEM-CG-LAB-30, Outpatient Laboratory-based Blood Glucose Testing

Related Codes

O16.9(4 policies)Z05.9(4 policies)M04.1(4 policies)O10.011(4 policies)O30.001(4 policies)Z05.0(4 policies)I50.1(4 policies)Z19.2(4 policies)

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