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ICD-10-CM Z32.00, Encounter for pregnancy test, result unknown | No Prior Auth

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`Z32.00`, Encounter for pregnancy test, result unknown

ICD-10-CM

Prior Authorization

No Prior Auth Required

Covered without prior authorization (high confidence)

Documentation Required

Record of specimen type as fresh vaginal discharge.
Documented pH value (numeric) when pH testing performed.
Microscopy findings from both saline and KOH preparations, including presence/absence of motile T. vaginalis, clue cells, yeast, and white blood cells.
Result of whiff/amine test when performed.

Key Coverage Criteria

Evaluation of germ cell tumors;or
Testicular cancer or suspicious testicular mass;or
Ovarian cancer;or
Pelvic mass;or
Mediastinal mass;or
Retroperitoneal mass;or

2 Active Policies

ANTHEM-CG-LAB-27, Human Chorionic Gonadotropin Testing

AMBETTER-CP.MP.97, Testing for Select Genitourinary Conditions

Related Codes

N89.8(2 policies)N94.89(2 policies)0353U(1 policies)81514(1 policies)82120(1 policies)83986(1 policies)84702(1 policies)81513(1 policies)

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Vaginal Gram stain result with documented Nugent score or Hay/Ison grade when used for diagnosis.

If Gram stain unavailable, documentation that Amsel's Diagnostic Criteria were assessed and that three of the required signs/symptoms were present.