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… Authorization Information • Policy History Policy Number: 159 BCBSA Reference Number: N/A NCD/LCD: N/A Related Policies … … 6961 … Treatments … 06/08/2023 … 159 … application/pdf …
… Authorization Information • Policy History Policy Number: 159 BCBSA Reference Number: N/A NCD/LCD: N/A Related Policies … … 6961 … Treatments … 06/08/2023 … 159 … application/pdf …
… subsequent encounter for fracture with routine healing 159 S32.615G Nondisplaced avulsion fracture of left ischium, … 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 …
… 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 … R54 Age-related physical debility R55 Syncope and collapse 159 R56.00 Simple febrile convulsions R56.01 Complex febrile …
… Encounter For Open Fracture Type Iiia, Iiib, Or Iiic 159 S52.345D Nondisplaced Spiral Fracture Of Shaft Of Radius, …
… 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 …
… of unspecified cervical vertebrae, initial encounter 159 S13.101D Dislocation of unspecified cervical vertebrae, …
… other blood vessels at lower leg level, left leg, sequela 159 S85.809A Unspecified injury of other blood vessels at …