P04.5 — Newborn affected by maternal use of nutritional chemical substances
ICD-10-CM
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
Key Coverage Criteria
- Thyroid function testing is consideredmedically necessaryfor individuals who meet any of the following indications:
- For evaluation of signs or symptoms consistent with thyroid disease;or
- To evaluate, assess, or monitor confirmed or suspected thyroid disease;or
- To evaluate thyroid function when there are risk factors for thyroid disease.
1 Active Policy
ANTHEM-CG-LAB-20 — CG-LAB-20 Thyroid Testing
Related Codes
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