N34.3 — Urethral syndrome, unspecified
ICD-10-CM
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
Key Coverage Criteria
- Verification of suprapubic catheter placement;or
- Removal of indwelling ureteral stents not amenable to office-based procedure;or
- Lower genital tract trauma with suspicion of urinary tract involvement, including urethral stricture;or
- Urine dribbling post voiding (for example, from a urethral diverticulum);or
- Injection of therapeutic agents for urinary incontinence;or
- Outpatient cystourethroscopy is consideredmedically necessaryforanyof the following indications:
2 Active Policies
ANTHEM-CG-SURG-51 — CG-SURG-51 Outpatient Cystourethroscopy
ANTHEM-CG-LAB-30 — CG-LAB-30 Outpatient Laboratory-based Blood Glucose Testing
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