O31.8X99 — Other complications specific to multiple gestation, unspecified trimester, other fetus
ICD-10-CM
Prior Authorization
No Prior Auth Required
No active coverage policies found for this code (low confidence)
Key Coverage Criteria
- Exposure to hepatotoxins;or
- Gastrointestinal disease;or
- Liver transplantation;or
- Primary or secondary malignant neoplasms;or
- Infections that may cause liver injury (for example, viral hepatitis, amoebiasis, tuberculosis, and similar infections);or
- Pancreatic disease;or
3 Active Policies
ANTHEM-RAD.00038 — RAD.00038 Use of 3-D, 4-D or 5-D Ultrasound in Maternity Care
ANTHEM-CG-LAB-29 — CG-LAB-29 Gamma Glutamyl Transferase Testing
ANTHEM-CG-RAD-26 — CG-RAD-26 Maternity Ultrasound in the Outpatient Setting
Related Codes
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