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ICD-10-CM Z38.4, Twin liveborn infant, born outside hospital | No Prior Auth

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`Z38.4`, Twin liveborn infant, born outside hospital

ICD-10-CM

Prior Authorization

No Prior Auth Required

Covered without prior authorization (high confidence)

Documentation Required

Recommended (per ACOG guidance cited in the CPB) components of prenatal care that women considering home birth should be offered (not described as coverage documentation requirements): 'group B Strep screening and treatment, genetic screening, as well as HIV screening.'
No specific documentation requirements are stated in this Clinical Policy Bulletin.

Key Coverage Criteria

None — Aetna considers planned deliveries at home and associated services not medically appropriate.
Coverage of home births will be considered when mandated by law under plans subject to state mandates.

1 Active Policy

AETNA-CPB-0329, Home Births

Related Codes

59430(1 policies)59510(1 policies)59525(1 policies)59610(1 policies)59622(1 policies)99199(1 policies)99461(1 policies)59400(1 policies)

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