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Medical Policy Updates May 2021.pdf119.94 KB

… 1, 2021 Commercial Medicare Neurology Private Duty Nursing 159 It was announced in January 2021 that the Clinical UM …

Medical Policy Updates April 2021.pdf182.4 KB

… See above this is being transitioned to medical policy #159 ▪ Outpatient Chest PT ▪ PT/OT for Vestibular …

930 AIM Abdomen and Pelvic Imaging CPT and Diagnoses Codes prn.pdf6.41 MB

… encounter S35.515S Injury of left iliac vein, sequela 159 S35.516A Injury of unspecified iliac vein, initial … right thigh M60.152 Interstitial myositis, left thigh M60.159 Interstitial myositis, unspecified thigh M60.161 … femur M87.152 Osteonecrosis due to drugs, left femur M87.159 Osteonecrosis due to drugs, unspecified femur M87.250 …

931 AIM Brain Imaging CPT and Diagnoses Codes prn.pdf2.92 MB

… hemorrhage affecting left non-dominant side I69.159 Hemiplegia and hemiparesis following nontraumatic … hemorrhage affecting left non-dominant side I69.159 Hemiplegia and hemiparesis following nontraumatic … loss of consciousness of 31 minutes to 59 minutes, sequela 159 S06.2x3A Diffuse traumatic brain injury with loss of …

933 AIM Extremity Imaging CPT and Diagnoses Codes prn.pdf7.4 MB

… Fracture Type Iiia, Iiib, Or Iiic With Routine Healing 159 S52.345G Nondisplaced Spiral Fracture Of Shaft Of Radius, …

934 AIM Head and Neck Imaging CPT and Diagnoses Codes prn.pdf4.14 MB

… lacrimal gland atrophy, bilateral lacrimal glands H04.159 Secondary lacrimal gland atrophy, unspecified lacrimal … right hip M00.152 Pneumococcal arthritis, left hip M00.159 Pneumococcal arthritis, unspecified hip M00.161 … hemorrhage affecting left non-dominant side I69.159 Hemiplegia and hemiparesis following nontraumatic …

935 AIM Spine Imaging CPT and Diagnoses Codes prn.pdf4.25 MB

… Dislocation of C7/T1 cervical vertebrae, initial encounter 159 S13.181D Dislocation of C7/T1 cervical vertebrae, …

936 AIM Vascular Imaging CPT and Diagnoses Codes prn.pdf2.39 MB

… injury of dorsal vein of left foot, initial encounter 159 S95.202D Unspecified injury of dorsal vein of left foot, …

705 Compound Medications Exclusion Drug List prn.pdf1.76 MB

… Chemicals TRADE NAME DESCRIPTION DOSAGE FORM DESCRIPTION 159 PAIN RELIEF ADHESIVE PATCH, MEDICATED PAIN RELIEF CREAM …