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159 Gene Therapies for Bladder Cancer.pdf237.08 KB

… 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 …

159 Gene Therapies for Bladder Cancer.pdf237.08 KB

930 Carelon Abdomen and Pelvic Imaging CPT and Diagnoses Codes prn.pdf6.47 MB

… 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 …

931 Carelon Brain Imaging CPT and Diagnoses Codes prn.pdf2.96 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 … R54 Age-related physical debility R55 Syncope and collapse 159 R56.00 Simple febrile convulsions R56.01 Complex febrile …

933 Carelon Extremity Imaging CPT and Diagnoses Codes prn.pdf7.19 MB

… Encounter For Open Fracture Type Iiia, Iiib, Or Iiic 159 S52.345D Nondisplaced Spiral Fracture Of Shaft Of Radius, …

934 Carelon Head and Neck Imaging CPT and Diagnoses Codes prn.pdf4.15 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 Carelon Spine Imaging CPT and Diagnoses Codes prn.pdf4.21 MB

… of unspecified cervical vertebrae, initial encounter 159 S13.101D Dislocation of unspecified cervical vertebrae, …

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

… other blood vessels at lower leg level, left leg, sequela 159 S85.809A Unspecified injury of other blood vessels at …