K77 — Liver disorders in diseases classified elsewhere
ICD-10-CM
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
Documentation Required
- This billing and coding article provides guidelines that complement Local Coverage Determination L34415 for CT of the abdomen and pelvis; consult LCD L34415 for specific coverage indications, limitations, and documentation requirements.
- CT scans must be performed on CT equipment models that are FDA-known and in full market release phase.
- - von Willebrand factor antigen (VWF:Ag), VWF activity measures (RCoF, collagen binding), VWF multimer analysis where available
- - VWF pro-peptide (VWFpp) in some studies
Key Coverage Criteria
- CT abdomen is medically necessary to evaluate abdominal pain.
- CT abdomen is medically necessary to evaluate known or suspected abdominal masses or fluid collections.
- CT abdomen is medically necessary for evaluation of primary or metastatic malignancies in the abdomen.
- CT abdomen is medically necessary to evaluate abdominal inflammatory processes.
- CT abdomen is medically necessary to evaluate abnormalities of abdominal vascular structures.
- CT abdomen is medically necessary to evaluate abdominal trauma.
6 Active Policies
A57802 — Billing and Coding: Hepatic (Liver) Function Panel
AETNA-CPB-0384 — Magnetic Resonance Cholangiopancreatography
AETNA-CPB-0690 — Noninvasive Tests for Hepatic Fibrosis
AETNA-CPB-0780 — ADAMTS13 Assay for Thrombotic Thrombocytopenic Purpura (TTP)
A56421 — Billing and Coding: CT of the Abdomen and Pelvis
Related Codes
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