O11.4 — Pre-existing hypertension with pre-eclampsia, complicating childbirth
ICD-10-CM
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
Key Coverage Criteria
- Serum iron testing is consideredmedically necessaryfor any of the following indications:
- Evaluation of suspected iron deficiency in individuals who meet any of the following criteria:Abnormal blood counts consistent with iron deficiency including, but not limited to, the following:Decreased mean corpuscular volume (MCV);orDecreased hemoglobin/hematocrit when the MCV is low or normal;orIncreased red cell distribution width (RDW) and low or normal MCV;orEvidence of acute or chronic blood loss including, but not limited to, the following:Gastrointestinal blood loss;orHematuria;orMenorr [...]
- Abnormal blood counts consistent with iron deficiency including, but not limited to, the following:Decreased mean corpuscular volume (MCV);orDecreased hemoglobin/hematocrit when the MCV is low or normal;orIncreased red cell distribution width (RDW) and low or normal MCV;or
- Decreased mean corpuscular volume (MCV);or
- Decreased hemoglobin/hematocrit when the MCV is low or normal;or
- Increased red cell distribution width (RDW) and low or normal MCV;or
1 Active Policy
ANTHEM-CG-LAB-21 — CG-LAB-21 Serum Iron Testing
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